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Farid Afshar, Ken W. Pullum, Linda Ficker; Scleral Contact Lenses in the Management of Keratoconus and Corneal Transplant Patients. Invest. Ophthalmol. Vis. Sci. 2011;52(14):6522.
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© ARVO (1962-2015); The Authors (2016-present)
To report our experience of scleral contact lenses in the management of keratoconus and corneal transplant (CT) patients.
Retrospective review of 612 patients managed with scleral contact lenses (SCL) at Moorfields Eye hospital, United Kingdom.
There were 860 eyes of 612 patients included in the study. Mean age of patients was 56 years. 64.1% of patients were male. 77.7% of patients were post penetrating keratoplasty and 17.9% of patients had keratoconus. In the keratoconus group (n=160) the mean unaided visual acuity (VA) was 2/60 with 86.3% of patients recording VA ≤6/60. With SCL 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 with 81.9% patients recording VA ≤6/60. Mean VA improved to 6/10 with SCL with 81.9% achieving VA ≥6/12 and 37.9% achieving VA ≥6/6.
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.
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