Deep Anterior Lamellar Keratoplasty for Acanthamoeba Keratitis Complicating the Use of Boston Scleral Lens

Farhat, Bilal; Sutphin, John E.

doi:10.1097/icl.0b013e3182997c4c

Cited by 23 publications

(18 citation statements)

References 14 publications

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“…44 Additionally, patients taking oral and/ or topical corticosteroids which are responsible for reducing immunity have potential risk factors for developing an infection. [45][46][47][48][49] However, few cases of microbial keratitis due to poor compliance have been reported during scleral lens wear. Compliance with hygiene appears to be higher in SL wearers since their ocular disease necessitates specific ocular hygiene.…”

Section: Specific Considerations When Fitting Sls For Sjögren's Syndromementioning

confidence: 99%

Ocular Surface Disease in Sjögren's Syndrome: Management in a Scleral Lens Clinical Practice

Fadel¹,

Barnett

2020

JCLRS

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Sjögren’s syndrome is a chronic, autoimmune, systemic disease characterized by lymphocytic infiltration and malfunction of the exocrine glands, primarily the lacrimal and salivary glands, resulting in predominant symptoms of dry eye and dry mouth. Sjögren’s syndrome is a highly prevalent condition and is one of the most common systemic, rheumatic, autoimmune diseases, affecting up to 1.4% of adults in the United States, second only to rheumatoid arthritis in its prevalence in North America. Primary Sjögren’s syndrome has shown to affect patients’ health-related quality-of-life due to dryness, chronic pain, depression, anxiety,physical and mental fatigue, and neuropsychiatric symptoms. Scleral lenses (SLs) have shown to be significantly beneficial in relieving symptoms and improvingquality-of-life in patients with Sjögren’s syndrome and dry eye disease. SLs may be used concurrently with the other therapies including ocular lubricants, eyelid hygiene, punctal occlusion, topical prescription medications, and autologous serum. This manuscript reviews the implication of Sjögren’s syndrome on the ocular surface and quality-of-life and describes how SLs, in combination with other treatments, may be beneficial.

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Section: Specific Considerations When Fitting Sls For Sjögren's Syndromementioning

confidence: 99%

Ocular Surface Disease in Sjögren's Syndrome: Management in a Scleral Lens Clinical Practice

Fadel¹,

Barnett

2020

JCLRS

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“…The majority of patients had poor compliance and were taking oral and/or topical corticosteroids which play a role in reducing the immune defense system. [14][15][16][17]24,[37][38][39] Acanthamoeba keratitis (AK) has been documented with ScCL use. 26,39 ScCL cause mild hypoxic changes to the cornea epithelium tissue due to decreased tear exchange and larger lens diameter.…”

Section: Microbial Keratitismentioning

confidence: 99%

“…26 Other risk factors for AK include dry eye syndrome, autologous tear use and long-term use of systemic corticosteroid. 39 The incidence of infections with ScCL is not frequent because of several factors. First, ScCL are worn during the day and there are few cases of overnight wear.…”

Section: Microbial Keratitismentioning

confidence: 99%

Scleral Lens Issues and Complications Related to Handling, Care and Compliance

Fadel

Toabe

2018

JCLRS

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Scleral contact lens (ScCL) handling may be challenging and is the principle reason for ScCL drop out. ScCL care systems are more intricate than other lens modalities and include solutions for cleaning, disinfection, storing, rinsing and filling the lens; respecting the use of each solution recommended is fundamental. Replacement of the lenses, solutions, case and plungers are important in order to decrease the risk of adverse events associated with ScCL wear. Compliance is crucial regarding hygiene, solution use, case and plunger care, wear time, follow-up schedule, and handling techniques. Non-compliance may lead to discontinuation of ScCL due to difficulties associated with this unique lens design. This paper presents complications secondary to handling, care and compliance that clinicians and patients may encounter while wearing ScCL. Instructions are provided to enhance the understanding on management surrounding these issues. This manuscript includes three tables to summarize types of complications, their symptoms, clinical signs, etiology, and management for a quick find index for easy consultation during daily clinical practice.

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“…Individual case reports described microbial keratitis, 123,131 Acanthamoeba keratitis, 132 and nonulcerative keratitis 133 associated with scleral lens wear. Despite the fact that much of the literature reviewed described the therapeutic use of scleral lenses in management of significant ocular disease, a limited number of complications have been reported.…”

Section: Eye and Contact Lensmentioning

confidence: 99%

Scleral Lenses

Schornack¹

2015

Eye &Amp; Contact Lens: Science &Amp; Clinical Practice

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Deep Anterior Lamellar Keratoplasty for Acanthamoeba Keratitis Complicating the Use of Boston Scleral Lens

Abstract: Ophthalmologists should have a higher level of suspicion for AK in all scleral lens users and consider the use of deep anterior lamellar keratoplasty for refractory cases.

Cited by 23 publications

References 14 publications

Ocular Surface Disease in Sjögren's Syndrome: Management in a Scleral Lens Clinical Practice

Ocular Surface Disease in Sjögren's Syndrome: Management in a Scleral Lens Clinical Practice

Scleral Lens Issues and Complications Related to Handling, Care and Compliance

Scleral Lenses

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