Role of mini-scleral lens in mucous membrane pemphigoid

Indian Journal of Ophthalmology
Mukesh KumarChaitra Jayadev

Abstract

This study aims to report the use of mini-scleral contact lens in the management of mucous membrane pemphigoid (MMP) with persistent epithelial defects. A 68-year-old male with a history of ocular pain and declining visual acuity was referred to our clinic with a diagnosis of MMP. His corrected distance visual acuity (CDVA) was 20/200 in the right eye and 20/100 in the left eye. Despite being on lubricants, topical steroids and intravenous cyclophosphamide, the patient developed persistent corneal epithelial defects in both eyes. He was then given a trial of mini-scleral lenses. Within 4 weeks, corneal epithelial defects healed, and at 6 months, the CDVA had improved to 20/50 in the right eye and 20/40 in the left eye. By improving the corneal surface integrity and visual function, mini-scleral lenses can play a role in the visual rehabilitation of patients with MMP.

References

Sep 27, 2000·American Journal of Ophthalmology·T Romero-RangelC S Foster
Sep 7, 2004·Current Opinion in Allergy and Clinical Immunology·C Stephen Foster, Maite Sainz De La Maza
Jan 26, 2007·The Ocular Surface·Ken Pullum, Roger Buckley
Jul 5, 2008·American Journal of Ophthalmology·Michael A Lemp
Nov 11, 2008·Eye & Contact Lens·Muriel M SchornackLeo J Maguire
Sep 23, 2009·Cornea·Muriel M Schornack, Keith H Baratz

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Citations

Aug 24, 2020·Contact Lens & Anterior Eye : the Journal of the British Contact Lens Association·Damien FisherStephen J Vincent
Nov 13, 2020·Asia-Pacific Journal of Ophthalmology·Li Lim, Elizabeth Wen Ling Lim
Mar 30, 2021·Contact Lens & Anterior Eye : the Journal of the British Contact Lens Association·Deborah S JacobsFiona Stapleton

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