Case Report: Remote Scleral Lens Fitting for High Toric Scleras in a Keratoconus Patient.

IF 1.6 4区医学 Q3 OPHTHALMOLOGY

Optometry and Vision Science Pub Date : 2023-12-01 Epub Date: 2023-11-27 DOI:10.1097/OPX.0000000000002085

Daddi Fadel, Cian Gildea

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引用次数: 0

Abstract

Significance: Technology plays a crucial role in customizing scleral lenses and improving lens alignment, especially in challenging scleral shapes. In addition, remote fitting technology allows optometrists to extend their expertise globally, empowering patients to access to customized lenses without travel expenses.

Purpose: The objective of this study was to document the difficulties encountered in fitting a scleral lens in a patient with keratoconus and pronounced scleral toricity. In addition, the study aimed to present the successful remote fitting achieved by using advanced technology.

Case report: An Irish male patient diagnosed with keratoconus exhibited high scleral toricity. Generally, keratoconus eyes often exhibit significant scleral asymmetry associated with cone decentration and disease severity. Improperly aligned scleral lenses can lead to regional changes in scleral shape, lens decentration, discomfort, and visual disturbances. Indeed, previous scleral lens fits were unsuccessful because of these issues. Corneoscleral profilometry was acquired in Ireland and then used in Italy to design customized lenses, which were then delivered to the patient's optometrist in Ireland. The first lenses designed and delivered demonstrated excellent overall performance without requiring adjustments.

Conclusions: This report highlights the importance of corneoscleral profilometry to increase efficiency and reduce lens reorders and chair time, and the remote fitting in overcoming barriers to accessing specialized lens fitting.

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病例报告:远端巩膜晶状体配合术治疗圆锥角膜患者。

意义:技术在定制巩膜晶状体和改善晶状体对准方面起着至关重要的作用，特别是在巩膜形状具有挑战性的情况下。此外，远程配镜技术允许验光师在全球范围内扩展他们的专业知识，使患者无需旅行费用即可获得定制镜片。目的:本研究的目的是记录圆锥角膜和明显的巩膜张力患者在安装巩膜晶状体时遇到的困难。此外，本研究旨在介绍利用先进技术成功实现的远程拟合。病例报告:一个爱尔兰男性诊断为圆锥角膜表现出高巩膜张力。圆锥角膜眼通常表现出明显的巩膜不对称，与锥体分散和疾病严重程度有关。不正确排列的巩膜晶状体可导致巩膜形状的局部改变、晶状体分散、不适和视力障碍。事实上，由于这些问题，以前的巩膜晶状体配合术都不成功。在爱尔兰获得角膜-巩膜轮廓仪，然后在意大利使用它来设计定制镜片，然后将其交付给患者在爱尔兰的验光师。第一个镜头设计和交付展示了出色的整体性能，无需调整。结论:本报告强调了角膜巩膜轮廓术在提高效率、减少晶状体重排和手术时间方面的重要性，以及远程晶状体配合术在克服获得专业晶状体配合术障碍方面的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Optometry and Vision Science 医学-眼科学

CiteScore

2.80

自引率

7.10%

发文量

210

审稿时长

3-6 weeks

期刊介绍： Optometry and Vision Science is the monthly peer-reviewed scientific publication of the American Academy of Optometry, publishing original research since 1924. Optometry and Vision Science is an internationally recognized source for education and information on current discoveries in optometry, physiological optics, vision science, and related fields. The journal considers original contributions that advance clinical practice, vision science, and public health. Authors should remember that the journal reaches readers worldwide and their submissions should be relevant and of interest to a broad audience. Topical priorities include, but are not limited to: clinical and laboratory research, evidence-based reviews, contact lenses, ocular growth and refractive error development, eye movements, visual function and perception, biology of the eye and ocular disease, epidemiology and public health, biomedical optics and instrumentation, novel and important clinical observations and treatments, and optometric education.