Abstract
Nowadays one of the best ways to visually rehabilitate patients with significant corneal irregularities is scleral contact lenses. However, these lenses also bring about complications such as the presence of debris between the lens and the cornea. This paper is a case study of this phenomenon. It describes the condition management by modifying the haptic zone, doing optometric tests, and follow-up. This case is about a 53-years old woman who underwent a radial keratotomy due to a high myopia. She had no history of any chronic-degenerative disease, but she has a current diagnosis of compound hyperopic astigmatism in both eyes. The woman goes to the doctor looking for an alternative to the air lens, which will provide her a visual quality and comfort. She is offered an adaptation of the scleral contact lens in order to improve her visual acuity and quality. After some hours using this solution, there is some debris. After checking the eye for a possible cause, they found that the lens upper edge was mildly lifted. It was fixed with toric haptics and it provided a thorough sealing and removed the debrisReferences
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Keywords
refractory surgery
visual rehabilitation
toric haptics