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Dry Eye Patient Fit Into Custom Scleral Lens

Thank you Dr. Wellish for this kind referral.

66 year old Male was referred to us for a scleral lens consultation for dry eyes. This patient had a h/o of PRK (corneal transplants) in both eyes in the 1990’s and had recently undergone cataract surgery in the right eye

He opted for the Multifocal PC IOL for the right eye (so he could see distance and near without glasses) and was interested in doing the same for his left eye. Unfortunately, his signs of dry eyes were too severe to proceed. Dr. Wellish kindly referred him to us to help heal his left eye with a scleral lens. Our goal was to fit him into a scleral lens to help hydrate and protect the cornea, allowing it to heal for possible cataract surgery.

With a diagnostic lens, his vision improved significantly and was suspected that it could be good enough to delay cataract surgery. Due to his high scleral toricity, we recommended a custom scleral lens to maximize the fit and comfort of the lens.

After wearing the Latitude lens for about 3 weeks, he was able to achieve 20/20 in the distance! The Latitude scleral lens is a custom scleral lens that uses 3D imaging to create a custom fit scleral lens. At this point, we incorporated multifocal optics into the left scleral lens to match the multifocal IOL in the right eye. He has been very happy with his vision near and far in both eyes, and sometimes feels that his left eye is more comfortable throughout the day than his right eye! The plan is to continue monitoring his cataract and managing the signs and symptoms of his dry eyes.

OS Scleral Elevation

OS cornea with NaFl 3

OS cornea with NaFl 2

OS cornea

OD topo axial crop

OS topo axial crop

OS inf edge Medmont

OS latitude Medmont

OCT OS temporal

OCT OS nasal