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Scleral Lenses for Corneal Scar

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A lovely 80 year old white female was referred to our office for a potential scleral lens fitting from Dr. Wellish from Wellish Vision Institute.

She suffers from a superior central corneal scar, which you can see in the photo. The cause is unknown. She also has a PCIOL from cataract surgery.

She complains that the vision in the right eye is "very blurry" and distorted, even with glasses.Her best corrected vision in her right eye is 20/100.

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Her topography also shows some severe irregularity, which is what is causing her vision to be blurry and distorted. We took some scleral topography images and also an impression of her eye in our office, which will help us design a custom scleral lens.

With a diagnostic scleral lens (46 D Base Curve, 16.0 diameter, -2.50 power) and an over refraction of -1.75, she was able to achieve 20/20 vision today! She also reported the letters were not distorted and were "very clear."

Our plan is to design a custom scleral lens for her to help her achieve maximum comfort and vision. We will see her in our office for a scleral lens dispense and insertion and removal training.

We are looking forward to helping this patient regain functional vision.

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