18 year old male was referred to our clinic for a scleral lens fit to improve his vision. He was diagnosed with Keratoconus in both eyes two years ago. The first symptoms he noticed was blurry vision that did not improve with glasses. He wore Corneal Gas Permeable lenses which improved his vision but was unable to adapt to the comfort and discontinued wear. He had corneal crosslinking surgery in the right eye about a year ago and in the left eye about 6 months ago. Corneal cross linking is a surgery that is FDA approved to slow down the progression of keratoconus. This patient is very young, so cross linking is necessary to prevent his cornea from worsening over time. Since the surgery, he has not worn any contact lenses and still notices blurry vision and poor night vision.
During our initial evaluation, his vision was 20/60 in the right eye and left eye. His right eye had central corneal scarring and haze while his left eye had some striae. With a diagnostic lens he was able to see 20/30 in the right eye and 20/20 in the left eye. After experiencing the better comfort of the scleral lens on his eyes, he decided to proceed with the fitting! We fit him into the Ampleye scleral lens with optimum extra material.
We recently saw him for his first follow up after dispensing his lenses and found that he was able to achieve 20/20 right eye and left eye even with the central scarring! He shared that he felt much more comfortable with these lenses over his previous lenses.
We love helping keratoconus patients see again!