morning. The treatment had notably improved her behavior, according to her parents’ reports. It is not rare that mini-scleral lenses have such a positive impact, in that they restore visual acuity as well as ocular comfort.
Sjögren’ s syndrome, persistent epithelial corneal defects, Steven’ s Johnson Syndrome, Graft Versus Host Disease, ocular cicatricial pemphigoid, atopic keratoconjunc-tivitis or other corneal irregularities resulting in poor vision are just a few examples of additional condi-tions that can be managed with the help of LDRGP. 8 Recent reports describe using LDRGP to deliver pharmacologic agents to the ante-rior surface of the eye. In the case of neurotrophic keratopathy where persistent corneal epithelial defects and even ulceration can occur, an-tibiotics can be instilled in the lens and placed directly on the eye. 17 This helps the ocular surface recover and heal properly. Patients are extremely grateful when the practitioner finds a successful solution to their problem.
It is well-known that LDRGP lenses are effective in the treatment of complex cases such as neurotrophic keratopathy secondary to Möbius syndrome. These lenses thus provide optimal treatment for this patient’ s ocular surface disease.
Conclusions
Fitting of mini-scleral contact lenses succeeded in treating bilateral neurotrophic keratopathy with corneal scarring that penalized visual acuity. Such lenses would be an ideal solution in any case of neurotophic keratopathy. It was extremely rewarding to use these lenses and thereby provide clear vision to a patient who had been struggling for many years with an ocular surface condition and consequently poor vision.
With the increasing recent interest of clinicians and manufacturers, mini-scleral lenses are becoming far more“ mainstream” in contact lens practice. As optometrists, we should strive to continuously update our expertise in the area of contact lens design, thereby providing our patients with the latest lens technology and best solution for their signs and symptoms.
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48 Vol 75 | No 2 2013 C a n a d i a n J o u r n a l o f O p t o m e t r y | R e v u e c a n a d i e n n e d’ o p t o m é t r i e