
07/07/2022
Another success story in the books for a patients with keratoconus!
This was the patient’s first time wearing scleral lenses and she was ecstatic about her vision with the lenses. However, some raised tissue on her sclera (called a pinguecula) was making scleral lens wear pretty uncomfortable. She had symptoms of stinging and blurred vision after a few hours of wear time.
📸 1/6: In this photo, a circular area of white tissue surrounded by blood vessels can be seen. This is due to the lens compressing on the pinguecula.
📸 2/6: In blue light, an air bubble can be seen underneath the edge of the lens. This gap between the contact lens and her eye can allow debris to enter the contact lens, making vision blurry. And over time, this gap can cause dryness, which isn’t an issue we would want to contribute to.
📸 3/6: This was the fun part! Our Pentacam Software mapped out all the elevations of this patient’s sclera. The burgundy areas indicated by the black lines were where the locations of those raised tissues. It turns out, she had 2 of them!
📸 4/6: Ok, another fun part was designing a lens to vault over both of those pingueculas. We went with a lens from BostonSight due to their ability to incorporate vaulting in 2 areas of the lens. (Most other lens designs can only accommodate 1)
📸 5/6: With the new lens design, the gap that was there previously is no longer present! 🥳
📸 6/6: Lastly, the compression of the blood vessels has improved considerably.
This patient has been wearing their lenses for the last year with no issues. And we are excited to see her again for her yearly fitting!