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D.N. Parmar, K. Pullum, R. Buckley, R. Collin; Rigid Gas-Permeable Scleral Contact Lenses in Eyelid Malposition With Ocular Surface Disease . Invest. Ophthalmol. Vis. Sci. 2003;44(13):3285.
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Purpose: To assess the use of rigid gas-permeable scleral contact lenses (RGPSCL) in corneal exposure secondary to eyelid malposition. Methods: We retrospectively reviewed the records of 12 patients, 15 eyes of whom were fitted with RGPSCL for eyelid malposition associated with corneal exposure. Results: Lagophthalmos was present in 11 eyes, entropion in 2 and trichiasis in 1, with RGPSCL fitted as a prop in 1 ptosis patient.Underlying diagnoses included a facial nerve palsy (5 eyes), myopathic ptosis (4 eyes), post-radiation keratoconjunctival scarring (2 eyes), congenital ptosis (2 eyes), third nerve palsy (1 eye) and traumatic lid avulsion (1 eye). Each eye had undergone a mean of 2 eyelid operations before lens fitting. RGPSCL were well-tolerated in almost all patients, with a mean period of 14 months' wear in total. Conclusions: RGPSCL can be used successfully to manage ocular surface disease secondary to eyelid malposition.
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