Scleral contact lenses for overnight wear in the management of ocular surface disorders

Eye
M J TappinRoger Buckley

Abstract

To describe the use of overnight wear scleral contact lenses (Scl CLs). The authors describe 7 patients using this modality of contact lens wear. Most of the lenses were made from highly gas-permeable materials, but a long-standing case is also reported when the lenses were made from PMMA, which is impermeable to gases. There is a range of therapeutic indications for the use of Scl CLs. The development of rigid gas-permeable (RGP) materials has widened this range. Seven case reports are presented which describe patients in whom severe ocular surface disease has been managed with overnight-wear Scl CLs. The indications were: corneal exposure, post-radiotherapy complications, Stevens Johnson disease, recurrent erosion and congenital or post-surgical lid defects. Scl CLs provide a therapeutic option for a range of complicated corneal and ocular surface conditions for which the treatment by other methods is either unsuitable or less effective. They have several advantages over silicone rubber and hydrogel lenses. The relative ease of handling for some patients allows removal for cleaning, their rigidity gives stability and a high degree of protection to the ocular surface, and the presence of a pre-corneal fluid reservoir optically...Continue Reading

References

Mar 15, 1990·American Journal of Ophthalmology·O D ScheinC Ducharme
Mar 1, 1990·Ophthalmology·W E SmiddyW J Stark
Sep 1, 1985·Contact Dermatitis·C V Whittington

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Citations

Sep 15, 2004·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·K T HänischG Geerling
Jan 1, 2004·Cornea·Guy T SmithKenneth W Pullum
Mar 22, 2005·Cornea·Kenneth W PullumRoger J Buckley
Apr 15, 2006·Optometry and Vision Science : Official Publication of the American Academy of Optometry·Esther-Simone VisserHenk J J Van Lier
Sep 23, 2009·Cornea·Muriel M Schornack, Keith H Baratz
Aug 27, 2013·Optometry and Vision Science : Official Publication of the American Academy of Optometry·Esther-Simone VisserRients Visser
Mar 19, 2014·Contact Lens & Anterior Eye : the Journal of the British Contact Lens Association·Eef van der WorpJosé M González-Meijome
Jan 17, 2007·Eye & Contact Lens·Esther-Simone VisserHenny M Otten
Feb 2, 2016·Survey of Ophthalmology·Rajat JainVirender S Sangwan
Aug 11, 2012·Contact Lens & Anterior Eye : the Journal of the British Contact Lens Association·Langis MichaudClaude J Giasson
Mar 22, 2014·Journal of Optometry·Jennifer S Harthan
Jan 15, 2008·Survey of Ophthalmology·Sujata Das, Berthold Seitz
Jun 10, 2015·Current Opinion in Ophthalmology·J Clay BavingerShahzad I Mian
May 18, 2017·Indian Journal of Ophthalmology·Mukesh KumarChaitra Jayadev
Dec 24, 2014·Eye & Contact Lens·Muriel M Schornack
Dec 4, 2019·Eye & Contact Lens·Amritha KanakamedalaSumitra Khandelwal
Aug 24, 2020·Contact Lens & Anterior Eye : the Journal of the British Contact Lens Association·Damien FisherStephen J Vincent
Mar 30, 2021·Contact Lens & Anterior Eye : the Journal of the British Contact Lens Association·Deborah S JacobsFiona Stapleton

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