Abstract
Purpose: :
To report our experience of scleral contact lenses in the management of keratoconus and corneal transplant (CT) patients.
Methods: :
Retrospective review of 612 patients managed with scleral contact lenses (ScCL) at Moorfields Eye hospital, United Kingdom.
Results: :
860 eyes of 612 patients were included in the study. Mean age of patients was 56 years. 81.4% of eyes were post penetrating keratoplasty and 17.9% of eyes had keratoconusIn the keratoconus group (n=160) the mean unaided visual acuity (VA) was 2/60. With ScCL the mean VA improved to 6/11 with 75% patients achieving VA ≥6/12, and 23.8% achieving VA ≥6/6.In the CT group (n = 700) mean unaided VA was 3/60. Mean VA improved to 6/10 with ScCL with 81.9% achieving VA ≥6/12 and 37.9% achieving VA ≥6/6.
Conclusions: :
Scleral contact lenses can lead to significant improvements in visual acuity and are a useful tool in the management of keratoconus and corneal transplant patients.
Keywords: contact lens • clinical (human) or epidemiologic studies: outcomes/complications • keratoconus