A non-surgical approach to the management of exposure keratitis due to facial palsy by using mini-scleral lenses

Zaki, Victor

doi:10.1097/md.0000000000006020

Cited by 16 publications

(7 citation statements)

References 10 publications

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“…In an important cohort study of 53 eyes in 45 patients with postsurgical lagophthalmos and exposure keratopathy, treatment with a scleral lens was compared to the usual standard of care, and a scleral lens gave rapid, substantial and sustained visual improvement, often from a worse starting point, than eyes in the standard of care group [349]. There are reports of scleral lens use for exposure keratopathy of specific aetiology; thermal injury [350,351], Graves' disease [352], craniofacial trauma [353], acoustic neuroma [354], facial palsy [284,355], post neurosurgery [356] and whilst awaiting eyelid reconstruction [357]. All studies reported that the use of scleral lenses gave positive results based on their outcomes, including improved visual acuity, ocular comfort, and clinical findings.…”

Section: Exposure Keratopathymentioning

confidence: 99%

BCLA CLEAR – Medical use of contact lenses

Jacobs

Carrasquillo²,

Cottrell

et al. 2021

Contact Lens and Anterior Eye

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The medical use of contact lenses is a solution for many complex ocular conditions, including high refractive error, irregular astigmatism, primary and secondary corneal ectasia, disfiguring disease, and ocular surface disease. The development of highly oxygen permeable soft and rigid materials has extended the suitability of contact lenses for such applications. There is consistent evidence that bandage soft contact lenses, particularly silicone hydrogel lenses, improve epithelial healing and reduce pain in persistent epithelial defects, after trauma or surgery, and in corneal dystrophies. Drug delivery applications of contact lens hold promise for improving topical therapy. Modern scleral lens practice has achieved great success for both visual rehabilitation and therapeutic applications, including those requiring retention of a tear reservoir or protection from an adverse environment. This report offers a practical and relevant summary of the current evidence for the medical use of contact lenses for all eye care professionals including optometrists, ophthalmologists, opticians, and orthoptists. Topics covered include indications for use in both acute and chronic conditions, lens selection, patient selection, wear and care regimens, and recommended aftercare schedules. Prevention, presentation, and management of complications of medical use are reviewed.

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Section: Exposure Keratopathymentioning

confidence: 99%

BCLA CLEAR – Medical use of contact lenses

Jacobs

Carrasquillo²,

Cottrell

et al. 2021

Contact Lens and Anterior Eye

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“…Кератит в случае с двусторонним параличом лицевого нерва исчез в течение одной недели использования склеральных линз. Последующее наблюдение в течение 2 лет показало, что эти пациенты сохранили хорошее зрение без побочных эффектов [35].…”

Section: терапевтическое использование склеральных линзunclassified

The treatment of cornea pathology using scleral lenses

Alhjouj

Samoylov

Usov

et al. 2022

Aspirantskiy Vestnik Povolzhiya

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This review focuses on the therapeutic use of scleral lenses in the treatment of corneal pathology described in the international scientific literature. The potential of scleral lenses in the treatment of pathology of the cornea and anterior segment of the eye has been studied since the late 1980s. The scleral lenses were actively used both in the treatment of corneal pathology and in the treatment of diseases of the anterior segment of the eye. The use of scleral lenses in the treatment of corneal pathology may promise an area for development for this treatment modality. Contrary to eye-drops, which remain on the ocular surface for a relatively short time, the scleral lenses provide a long-term hydration of the corneal epithelium and paralimbal conjunctiva. Tarsorrhaphy and other surgical interventions limit visual acuity and the field of vision and provide poor cosmetic results. The scleral lenses, however, can provide 2-in-1 therapy as they protect the ocular surface and, in case of epithelial roughness, may improve visual acuity in patients with ocular surface diseases. The ability of scleral lenses to provide a continuous hydration and protection of the ocular surface, allowing patients to maintain functional visual acuity, as well as their ability to be used in combination with other forms of therapy, makes them a valuable option for the treatment of severe ocular surface diseases. Incorporating scleral lenses into a combined, multidisciplinary approach to treatment can bring relief to patients without resorting to more invasive treatment options. Our analysis identified only a few studies on the use of scleral lenses in the treatment of corneal pathology, which is likely due to the complexity of customization of their fit. This indicates the need for scientific research aimed at developing universal scleral lenses for the treatment of the cornea based on the criteria of the radius of curvature and the diameter of the cornea of a healthy eye.

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“…There are limited references in the peer reviewed literature on the process by which appropriate lens fits are determined. The current literature on scleral lenses consists primarily of case reports or case series, which report indications and outcomes of scleral lens wear [3,[6][7][8] or descriptions of the impact of scleral lenses on anterior ocular structures [5,9,10].…”

Section: Introductionmentioning

confidence: 99%