In the second instalment of the Slit Lamp Leries, Martin Conway looks at Oblate Cornea. You can read the previous article which examined Demodex Mites here. This month’s image from Marco Tovaglia won the BCLA Diane Gould Photo Contest in 2021. It very clearly illustrates the flattening of the...
Read moreIntroduction 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...
Read moreBackground 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...
Read moreIntroduction 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...
Read moreBackground 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...
Read moreIntroduction The vast majority of the lenses we fit in contact lens practice are soft lenses. The amount of attention that goes into ‘fitting’ soft lenses is limited in contrast to the focus on scleral lens fitting, corneal lens fitting, and orthokeratology, for instance. This case shows how taking...
Read moreIn 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...
Read moreNever a dull moment in our industry. Although this past period will surely be remembered as ‘the COVID era’, there are so many new and exciting developments going on that maybe in the future, all of these technological advances may outweigh the negative vibes of COVID for our industry....
Read moreScleral 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...
Read moreClass Symposium 2020 is anticipated to be a milestone in digital education for the speciality contact lens industry. With an extensive programme spanning over 7 weeks, the event will deliver an array of lectures, workshops and seminars covering a range of topics, from myopia to ocular surface disease. Plus...
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