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corneal cross linking

Keratoconus patient sees clearly for the first time in years!

Keratoconus patients are so rewarding!

A 22 year old female was referred to us from Dr. Wellish. She has keratoconus in both eyes. She had corneal crosslinking in the left eye 3 months ago. She will be getting corneal crosslinking in the right eye next month.

She complains of blurry vision, distorted vision, and fluctuating vision. She states her left eye has been a lazy eye for quite some time and she remembers that her vision in that eye was able to achieve 20/40 at one point.

With glasses, she could achieve 20/80 vision in the right eye and 20/200 in the left eye.

After reviewing all of the options, she decided to proceed with the Latitude custom scleral lens. We took 3D images of the left eye and used a diagnostic scleral lens to determine her vision. To our surprise, she was able to achieve 20/20 vision!

We built a trial frame for her and let her roam around the office so she could get a sense of what her new vision would be! She was thrilled and her mom was thrilled too!

Such a fun case, we can’t wait to see her back for her dispense.

Keratoconus patient sees clearly

Keratoconus patient sees clearly 2

Keratoconus patient sees clearly 3

Keratoconus patient sees clearly 4

Keratoconus patient goes from 20/100 to 20/40 to 20/25+ in just a few weeks!

39 year old hispanic male was referred for dry eye in his right eye. He has a history of keratoconus in both eyes. He had corneal crosslinking performed in the right eye only. He has punctal plugs and uses preservative free artificial tears every hour with mild improvement. His current glasses are about 4 years old and his vision is 20/100 right eye and 20/200 left eye. His slit lamp findings showed thin tear meniscus and meibomian gland dysfunction in both eyes. His right eye had a central corneal scar with adjacent thinning inferior central and a nasal pterygium with about 2mm encroachment. The left eye had corneal striae and a temporal corneal scar. Due to his irregular corneal shape and large pterygium, we recommended an EyePrint Prosthetic.

At his dispense, he was able to achieve 20/40 vision in the right eye. The lens was fitting great with no compression over the pterygium. After about a month of wear with some time to adapt to the lens, his vision improved to 20/25+ in the right eye, even with the central corneal scar! In addition to the improvement of his vision, he was comfortable wearing the lens for 16 hours a day.

Corneal scarring can limit the vision potential in keratoconus patients, but we are very excited that he was able to improve to 20/25 in just a few weeks after wearing his new lens! He is thrilled, and we are so happy for him!

Keratoconus patient scleral lens follow up

Great one month scleral lens follow up today!

Our keratoconus patient was fit into the Latitude custom scleral lens in the right eye after cross linking.

At his follow up, he reports excellent vision, improved computer vision, and he is having scleral lens insertion success with the dalsey adaptives see green scleral lens stand.

Average wear time is 13 hours per day. He is using Boston simplus to clean/disinfect the lenses and non-preserved saline to fill the bowl of the lens.

Vision is 20/25+2 and the fit of the lens is beautiful!

His left eye is healing from the crosslinking procedure, but we will fit his left eye once we get the green light from Dr. Wellish or Dr. Ortiz.

Thank you Wellish Vision Institute for trusting us with this patient!

We love managing keratoconus cases with awesome doctors!

Keratoconus patient scleral lens fitting

A young Keratoconus patient was kindly referred to us by Dr. Casey at NVision.

He was diagnosed with Keratoconus a few years ago and was fit into Europa scleral lenses by another eye doctor. He claimed that his vision was great with the lenses but the lenses hurt a lot. He stated that he suffered from several corneal abrasions while wearing his scleral lenses and his eyes were constantly red and irritated. He discontinued lens wearers due to the high amount of discomfort and stress.

During his time with us, we reviewed all of his options such as custom soft contact lenses, corneal gas permeable lenses, hybrid lenses and scleral lenses.

He wanted to insert his habitual scleral lenses to see if we could identify the problem, so we inserted his scleral lenses.

You can see that there is thin central clearance and a significant amount of limbal bearing, which was likely leading to his discomfort. I recommended trying a new lens modality or if we continue with a scleral lens, the Latitude would likely provide a more custom fit. He is going to consider all options and get back to us. He is relieved to finally have figured out what the problem was with his current lenses. His last doctor told him to just keep wearing them and he will get used to them, but with this fit, that would be highly dangerous to the eye.

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