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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Scleral Lens Management of Soft Contact Lens Induced Limbal Stem Cell Deficiency

03rd November 2023

Introduction Limbal stem cell deficiency (LSCD) results in dysfunction and/or loss of the stem cells in the basal limbal area. These cells are responsible for maintaining and replenishing the corneal epithelium. This change in corneal tissue composition results in conjunctival epithelial ingrowth, persistent epithelial defects, chronic inflammation, and neovascularization.1,5 There...

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The Influence of Contact Lenses and Cleaning Solutions on Dry Eye in Wearers

28th February 2025

On the 26th and 27th January 2025 the 42nd meeting of the Congrès d’Optométrie et de Contactologie (C.O.C) , organized by the Association des Optométristes de France (AOF) took place in Montrouge, just outside Paris, France. This congress has grown from 100 delegates 10 years ago to over 1,000...

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Multidisciplinary Management of Neuropathic Eye Pain and Blepharospasm

28th February 2025

Background Corneal neuropathic pain is pain in the eye, face or head with ocular symptoms including stinging, burning, irritation, in the absence of noxious stimuli.¹ Slit lamp examination is typically unremarkable.² Scleral lenses may help mitigate symptoms and disrupt the pain cycle in some patients despite a normal exam.³ Case History...

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