Potential contraindications to scleral lens wear |
| |
| Affiliation: | 1. DOptom, Private practice, Rome, Italy;2. OD, Private practice, Miami, USA;1. Department of Ophthalmology, University Medical Center Utrecht, Utrecht, The Netherlands;2. Visser Contact Lens Practice, Nijmegen, The Netherlands;3. Zonnestraal Eye Hospital Amersfoort, Amersfoort, The Netherlands;1. Clinical & Experimental Optometry Research Lab (CEORLab), Center of Physics, University of Minho, Braga, Portugal;2. Eye-Contact-Lens Research & Education Amsterdam, The Netherlands;1. Texas Eye Research and Technology Center, University of Houston, College of Optometry, 4901 Calhoun Rd, Houston, TX, United States;2. University of the Incarnate Word, Rosenberg School of Optometry, San Antonio, TX, United States;1. Clinical & Experimental Optometry Research Lab (CEORLab), Center of Physics, University of Minho, Braga, Portugal;2. Maastricht University, Maastricht, The Netherlands |
| |
| Abstract: | Research and reviews have resulted in clear indications for scleral lens (SL) wear. Those indications include visual rehabilitation; therapeutic use in managing ocular surface diseases, lid and orbit disorders; and refractive correction to enhance visual quality, comfort and quality of life. In some cases, the use of SLs may be contraindicated: the presence of low endothelial cell density; Fuchs’ endothelial corneal dystrophy; glaucoma (because of the risk of an increase in intraocular pressure and the existence and location of draining devices and blebs); or overnight wear.While the literature provides an extensive description of the indications for scleral lens wear, the authors recognize that there is no paper reporting the contraindications to their use. The aim of this review is to illustrate the conditions for which SL wear is potentially contraindicated or requires caution. Improved knowledge of SL limits should reduce the risk of adverse events and increase the likelihood of fitting success. |
| |
| Keywords: | Scleral lens Indications Contraindications Endothelial cell density Fuchs’ dystrophy Intraocular pressure Glaucoma Drainage devices Overnight wear Patient expectations |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
