Sudden vision loss associated with keratoconus: Acute corneal hydrops

Reyes-Godinez, Natalia; Ruiz-Lozano, Raúl E.; Tamez-Tamez, Veronica E.

doi:10.1016/j.visj.2021.101109

Cited by 1 publication

(2 citation statements)

References 3 publications

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“…Eyes fitted with the BostonSight® SCL achieved a better VA and faster visual improvement [ 17 ]. Even in patients with KCN who developed acute corneal hydrops [ 18 ], the mini-Misa SCL (Microlens, Arnhem, The Netherlands) was effective in providing good VA [ 19 ]. In a case series of 20 PMD eyes fitted with the BostonSight® SCL, a substantial improvement in VA after 7.25 months was reported [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

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Update on indications, complications, and outcomes of scleral contact lenses

Ruiz-Lozano¹,

Gomez-Elizondo²,

Colorado-Zavala³

et al. 2022

Med Hypothesis Discov Innov Ophthalmol

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Background: The role of scleral contact lenses (SCLs) has increasingly expanded since the first lens was fitted more than a century ago. While it was initially prescribed for the management of severely compromised corneas, the indications for modern SCL use have expanded to include less severe diseases. In this review, we aimed to provide an up-to-date overview of the current indications, complications, and outcomes for the various types of SCLs. Methods: In this narrative review, we thoroughly searched the PubMed/MEDLINE database for literature published from January 1980 to November 2021. Only relevant up-to-date English references were included. Furthermore, the figures in this manuscript were derived from our unit’s patient documentation. Results: Currently, SCLs can successfully be used to manage ocular surface diseases, visually rehabilitate irregular corneas, and correct irregular refractive errors. Although newer materials have yielded the same visual outcomes with fewer complications, these consequences still occur in approximately one-third of contact lens wearers, including difficulties in insertion and/or removal, discomfort or pain, and developing either halos, blurriness, or haze. Even though most of these complications are minor and can be easily treated, a good practice is essential to avoid sight-threatening complications such as microbial keratitis. Conclusions: SCLs are indispensable in ophthalmic clinics. The development of better-quality SCLs has increased the number of indications and improved the achievable visual rehabilitation. The future of developing improvements in SCL design, materials, and fit, and the expansion of their indication range is promising.

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Section: Discussionmentioning

confidence: 99%

“…Eyes fitted with the BostonSight® SCL achieved a better VA and faster visual improvement [17]. Even in patients with KCN who developed acute corneal hydrops [18],…”

Section: Visual Rehabilitation In Patients With Corneal Irregularitymentioning

confidence: 99%