Weber SLP1,2*, Jorge BCM2, Mourao ABG2, Pinheiro ADP2, Matos MN2 and Hofling-Lima AL1
1Department of Ophthalmology, Federal University of Sao Paulo, Brazil
2Department of Ophthalmology, University of Fortaleza, Brazil
Purpose: To report a challenging case of scleral contact lens use in a patient who received Radial Keratotomy (RK). Observations: A 61-year-old-man had received surgery with RK more than 30 years ago. He developed a progressive corneal flattening with progressive hyperopia and astigmatism in both eyes. A Scleral Contact Lens (SCL) was fitted in both eyes in order to maintain the independence of the glasses and greater visual quality. After two months of daily SCL use, the patient returned with poor visual acuity in the left eye. On ophthalmological examination, a reduction in best corrected visual acuity in the left eye was noted from 20/30 to 20/200 using SCL, with an over refraction of -2.50 in the same eye. Changes in corneal curvature and thickness of both eyes were observed in Pentacam exam, with peripheral corneal edema near some radial incisions. Conclusion: The continued use of SCL in patients after RK can cause changes in corneal thickness and curvature. Therefore, constant monitoring and follow-up of these cases is very important.
Scleral contact lens; Scleral lens; Radial keratotomy
Weber SLP, Jorge BCM, Mourao ABG, Pinheiro ADP, Matos MN, Hofling-Lima AL. Changes in Corneal Curvature and Pachymetry after Daily Use of a Scleral Contact Lens with a Late Postoperative of Radial Keratotomy: Case Report. J Clin Ophthalmol Eye Disord. 2021; 5(1): 1034.