Sapkota Arjun¹*, Gautam Binesh¹, Mahat Manoj¹ and Poudel Amit²

¹Himalaya Eye Institute, Pokhara University, Gharipatan- 17, Pokhara, Nepal
²Maharajgunj Medical Campus, Tribhuvan University, Kathmandu, Nepal

*Corresponding Author: Sapkota Arjun, Assistant Professor, Master of Optometry, Department of Optometry, Himalaya Eye Institute, Pokhara University, Gharipatan- 17, Pokhara, Nepal.

Received: February 01, 2024; Published: June 10, 2024

Abstract

Aim: To investigate the efficacy of 14.50 mm Corneo-Scleral Lenses in enhancing visual function following Penetrating Keratoplasty.

Case Presentation: Two adolescent patients who had undergone penetrating or lamellar keratoplasty within the past year received treatment with 14.50mm Mc-Asfeer corneo-scleral lenses. Their progress in best corrected visual acuity was monitored following the treatment.

Result: The maximum keratometry value of patients A and B were 54.64 D and 52.36 D on their first visit to our clinic, respectively. Both patients were successfully fit with Mc-Asfeer corneo-scleral lens, showing adequate central corneal clearance of about 320μm (Patient A) and 210μm (Patient B) with no corneal touch on AS-OCT and sufficient limbal clearance of about 120μm with good edge clearance. After the lens insertion, BCVA improved to 6/6. The patient reported an immediate improvement in visual quality and a reduction in ghosting. Subjective comfort was also noted, with no significant discomfort.

Conclusion: This case report demonstrates the effective adaptation of a Corneo-Scleral contact lens in a patient's post-keratoplasty. Corneo-Scleral lenses emerge as a valuable choice for enhancing vision in individuals with irregular corneal surfaces post-keratoplasty, warranting consideration in visual rehabilitation strategies.

Keywords: Keratoplasty; High Astigmatism; Scleral Contact Lens

References

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Citation

Citation: Sapkota Arjun., et al. “Enhancing Vision Post Penetrating Keratoplasty with Corneo Scleral Contact Lenses". Acta Scientific Ophthalmology 7.7 (2024): 24-28.

Copyright

Copyright: © 2024 Sapkota Arjun., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.