Acute red eye (non-ulcerative keratitis) associated with mini-scleral contact lens wear for keratoconus

Australian College of Optometry, Carlton, Victoria, Australia
Clinical and Experimental Optometry (Impact Factor: 1.34). 02/2013; 96(2). DOI: 10.1111/cxo.12033
Source: PubMed


Mini-scleral lenses are an increasingly popular contact lens modality; however, there are relatively few reports regarding the unique aspects of their fitting and potential complications. We report a complication of mini-scleral lens wear in a 44-year-old female patient using the lenses for keratoconus. Her mini-scleral contact lenses were non-fenestrated and fitted to vault over the cornea and seal at the periphery. The patient presented with an acute red eye (non-ulcerative keratitis), characterised by unilateral severe conjunctival and limbal hyperaemia, corneal infiltration and pain. Refitting the lens to increase the corneal vault clearance did not prevent recurrence of the keratitis, some five months later. Successful prevention of further episodes of the acute red eye was achieved through improved patient compliance with lens cleaning, disinfection and lens case procedures. Lens hygiene may be particularly important for mini-scleral lenses with a sealed fitting.

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Available from: Adrian S Bruce, Jun 05, 2015
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    Clinical and Experimental Optometry 03/2013; 96(2):137-9. DOI:10.1111/cxo.12043 · 1.34 Impact Factor
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