Avoiding a Corneal Transplant in a Young Patient

23rd June 2023

Background Corneal opacity is the fifth leading cause of blindness worldwide¹. A common cause of corneal opacity is infectious keratitis. In developed countries, contact lenses are the leading cause of infectious keratitis while in developing countries it is from corneal trauma during agriculture work¹. The most common organism responsible...

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The Changing Face of Contact Lens Fitting

30th November 2022

In the October 2022 edition of Contact Lens Spectrum, Ed Bennett’s report on the GP and Custom Soft Annual Report 2022 provided a comprehensive insight into the prescribing habits of top US practitioners. Scanning the list of subscribers, they are mainly Key Opinion Leaders and researchers, so this may not necessarily...

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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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A Fisherman’s Tale – New hyper Dk material eliminates episodes of microcystic edema

31st July 2019

Penetrating keratoplasty in patients with keratoconus may provide good long‐term visual rehabilitation. There is a relatively low rate of graft failure in this cohort of patients. Graft rejection has been reported to be 5.8–41% with most rejections occurring in the first 2 years. [1-5]. Irregular and high astigmatism may be common...

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Do CXL and Speciality Lenses Complement or Compete in the Management of Keratoconus

30th April 2025

With the increasing use of corneal cross-linking (CXL) for keratoconus, some have questioned whether this treatment could reduce the demand for specialised contact lenses. Keratoconus is a well-known condition among practitioners that fit speciality contact lenses. This progressive disorder affects approximately 1 in 500 individuals and is much more...

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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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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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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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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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