Scleral lenses in the treatment of post-LASIK ectasia and superficial neovascularization of intrastromal corneal ring segments

Contact Lens & Anterior Eye : the Journal of the British Contact Lens Association
Elise G Kramer, Edward L Boshnick

Abstract

This case report aims to explore the use of scleral lenses for the treatment of ocular and visual complications in an adult patient presenting with post-LASIK (Laser-Assisted in situ Keratomileusis) ectasia in both eyes with cross-linking in the right eye and intrastromal corneal ring segments (ICRS; Intacs, Addition Technology, Fremont, CA) in the left eye. Following a comprehensive eye exam and specific testing for contact lens fitting, scleral lenses were fitted with success in both eyes and dispensed. Due to progressive fibrosis and neovascularization of the inferior ICRS in the left eye, the inferior ICRS was removed and scleral lenses were refit with success. Prescribed scleral lenses helped the patient achieve optimal visual correction (20/20) as well as ocular protection of the cornea. Post-LASIK ectasia is a common finding among contact lens specialists today. When ICRS surgery is involved, the fitting of contact lenses may become more challenging. Scleral lenses offer a unique way of addressing many issues raised in this case report including corneal neovascularization and ectasia. This lens modality may be considered for any other case involving irregular corneal curvature following surgery resulting in reduced visua...Continue Reading

References

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Citations

May 31, 2016·Journal of Current Ophthalmology·Fateme Alipur, Seyedeh Simindokht Hosseini
Jan 19, 2018·Pharmaceutics·Marion DubaldHatem Fessi
Oct 13, 2017·Eye & Contact Lens·Hsiao-Sang ChuFung-Rong Hu
Nov 6, 2018·European Journal of Ophthalmology·Cristina Peris-MartínezAndrés Gené-Sampedro
Dec 12, 2019·Eye·Beatriz de Luis EguileorJaime Etxebarria Ecenarro
Mar 27, 2021·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·Mukesh KumarDavid A Atchison
Mar 30, 2021·Contact Lens & Anterior Eye : the Journal of the British Contact Lens Association·Deborah S JacobsFiona Stapleton

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