Scleral lenses in the treatment of post-LASIK ectasia and superficial neovascularization of intrastromal corneal ring segments

Visual management of aphakia with concomitant severe corneal irregularity by mini-scleral design contact lenses

“…Scleral family contact lenses have been widely used recently for different indications such as keratoconus or other corneal ecstasies, dry eye, damaged, scarred, or vascularized corneal surface, persistent corneal epithelial defect, and irregular or oblique corneal astigmatism. 1 , 18 , 19 , 20 , 21 , 22 Successful scleral lens fitting has been reported recently for the treatment of post-LASIK ectasia and superficial neovascularization of intrastromal corneal ring segments in two eyes of a patient. 22 The overall success rate of scleral family lenses has been reported 70–80% in the literature review variable in different indications.…”

“… 1 , 18 , 19 , 20 , 21 , 22 Successful scleral lens fitting has been reported recently for the treatment of post-LASIK ectasia and superficial neovascularization of intrastromal corneal ring segments in two eyes of a patient. 22 The overall success rate of scleral family lenses has been reported 70–80% in the literature review variable in different indications. 8 Their highly gas permeable material makes them a good option for correcting aphakia since they are required to be used for longer hours in this situation.…”

Contact lenses for continuous corneal temperature monitoring

“…48 They rest on the sclera creating a tear uid reservoir over the cornea. 49 They are already used to treat a number of eye diseases and injuries, 48,50 including dry eye syndrome, 51 keratoconus, 48,52 Steven-Johnson syndrome, 48 post Laser Assisted In situ Keratomileusis (LASIK) complications, 50,53 as well as post corneal transplant complications. 48 Hence, the measurement of OST on a continuous basis is highly desirable in a wide range of physiological conditions to monitor disease progression in personalized diagnostics.…”

Visual quality with corneo-scleral contact lenses after intracorneal ring segment (ICRS) implantation for keratoconus management

“…It should be noted that after ICRS implantation there are still patients who need some type of visual correction to improve their eyesight [7][8][9][10]. Nonsurgical options to improve vision after ICRS implantation include different types of contact lenses, such as conventional or customised soft lenses and rigid gas-permeable (RGP; corneal, corneo-scleral and scleral) lenses, hybrid lenses and a piggyback contact lens system [12][13][14][15][16][17][18][19][20][21][22][23][24][25][26]. An advantage of RGP lenses is that they are able to mask corneal surface irregularities with the tear layer between the lens and anterior corneal surface, and they also provide a regular refractive surface [27,28].…”

“…To the best of our knowledge, although there are studies in the scientific literature on fitting RGP contact lenses on keratoconic eyes with ICRS implants, these have only assessed a small number of eyes (in particular for corneo-scleral or scleral lenses) [16][17][18][19][20][21][22]. Therefore, the aim of this study is to ascertain the outcomes of fitting a CScL in keratoconic eyes with ICRS implants, and to establish to what extent they can provide an improvement in visual quality.…”