Thank you Dr. Wellish for your kind referral of your patient to our clinic!
We had a very nice 48 year old patient referred to us for a contact lens consultation.
He was diagnosed with keratoconus in his 20's, but his corneas remained stable throughout the years, and he was able to get by with spectacles.
Over the last 2 years, he noticed a huge decrease in the vision in both eyes. He was seen by Dr. Abrams, who inserted Intacs in the right eye, and then later Dr. Wellish performed corneal crosslinking on the left eye to stabilize the vision.
He complains that his vision is very poor and distorted and also his left eye suffers from extreme dry eye. He uses Oasis tears in both eyes, along with autologous serum in the left eye. He also uses Restasis in the right eye twice per day to help with dry eye syndrome.
With glasses, he can see 20/60 "double" in the right eye and 20/150 "distorted" in the left eye.
Due to his highly irregular corneal issues, we decided to proceed with the EyePrint Prosthetic with each eye.
We took an impression of the ocular surface in each eye and then fit him with a diagnostic scleral lens to check his vision potential. With an over-refraction, he could see 20/40 in the right eye and 20/30-2 in the left eye. He also noticed his left eye felt much less dry with the scleral lens on!
We send the impressions to the lab and we will see him in 1 week for his dispense and training. He will continue to use his Restasis drops as recommended, and he will fill the bowl of the scleral lens with autologous serum and Nutrifill. He will also use Tangible Clean MPS.
We are looking forward to helping him see better!