Optimising Ocular Health in Ectodermal Dysplasia: A Case Series on Tailored Scleral Lens Fitting

30th April 2025

Background: Ectodermal Dysplasias (ED) are genetic conditions affecting the development of skin, hair, teeth, nails, and sweat glands1. Ocular findings include lacrimal drainage obstruction and hypoplasia, punctal agenesis, distichiasis, trichiasis, meibomian gland alterations and ankyloblepharon with sequelae of chronic dry eye2,3. Complications include chronic ocular pain, neurotrophic keratitis, and...

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Introducing a new addition to the Optimum family of materials

01st February 2019

The Optimum range of materials has become established as one of the most popular RGP materials on the market. Recent years have seen remarkable growth in the usage of both ortho-k and scleral lens usage and, in response to this Contamac have developed Optimum Infinite, a hyper-Dk material which cuts...

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Overcoming Lens Discomfort and Misting in a Keratoconic Patient

30th April 2025

Patient Lens Design Lens Material Male 44 years Custom Designed Patient History Indication: Keratoconus, Irregular corneas R+L Medical History: • None. No family history of eye disease Ocular History: • Exact time of diagnosis unknown but it was before 1998 • Penetrating graft right eye May 2001 Exam &...

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Putting the Latest Soft Contact Lens Research to Practice

27th October 2023

Introduction In 2020, the COVID-19 pandemic wrought significant havoc on our healthcare system and daily lives. The implementation of public health measures, aimed at safeguarding the population, reshaped our professional landscape. We witnessed a surge in demand for contact lens fittings, coinciding with the return of our regular wearers...

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Keratoconus and Scleral Lenses

04th August 2020

Patient History A 34-year-old Hispanic female was referred to us by an ophthalmology clinic for a contact lens evaluation. JS was diagnosed with keratoconus when she was 22 years old and claims that the vision worsened each year. She tried multiple pairs of glasses, and then she was finally...

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Managing Bilateral Penetrating Keratoplasty-Related Rim Ectasia and Astigmatism

31st August 2023

Introduction This patient is a 51 YO female who had bilateral Penetrating Keratoplasties around 30 years ago in Rotterdam. Her grafts have become ectatic over the years and now exhibit signs of Rim Ectasia. This presents itself as a thinning of the host cornea leading to a tilting of the graft and a significant...

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Conjunctival Scarring Case Report

21st November 2016

Conjunctival Scarring Many conditions can cause the conjunctiva, the thin transparent membrane that covers the white of the eye and the underside of the eyelids, to become scarred. Scarring damages the conjunctiva and prevents it retaining the protective mucous layer, which helps tears adhere to the surface. Patients may...

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Type 1 Lattice Corneal Dystrophy Status Post Penetrating Keratoplasty: A Scleral Lens Success Story

31st August 2023

Background Type 1 lattice corneal dystrophy (LCD1) is a rare hereditary bilateral disorder of the cornea. This is a result of an autosomal dominant mutation of the TGFBI (transforming growth factor beta induced) gene which leads to accumulation of amyloid deposits in stroma1 Variable clinical appearance depends on the...

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Haunted by Ghosting: HOA Correction in Keratoconus

25th March 2021

Scleral lenses have an astounding ability to provide patients with the gift of sight, often allowing them to regain their lives. With keratoconus (KCN) being the most common indication for scleral lenses, patients often experience a significant improvement in visual function with wear.1 It is well-understood that, by providing...

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Not a Steep Learning Curve

23rd June 2023

Introduction This lens fit appears like a complex case, with at least three different factors playing a role. But by ‘simply’ applying a basic set of rules, this case report shows what a difference an Eye Care Professional (ECP) can make in people’s lives. First, by assessing whether an...

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