Objective:

To report on the management of significant diurnal refractive fluctuations in a post-RK patient using scleral lenses, highlighting the clinical implications.

Key Findings:

• The patient experienced refractive shifts primarily in the hyperopic direction, which is atypical for RK patients, suggesting a need for tailored management strategies.
• Scleral lenses effectively stabilized the patient's vision without diurnal fluctuations, demonstrating their potential as a treatment option.

Interpretation:

Scleral lenses can be a viable option for managing diurnal refractive fluctuations in post-RK patients, particularly those with unique refractive patterns, emphasizing the need for individualized care.

Limitations:

• The case report is based on a single patient, limiting generalizability; further studies are needed to evaluate the effectiveness of scleral lenses in a broader population of post-RK patients with varying refractive patterns.

Conclusion:

Customized scleral lenses not only improved vision for the patient but also provided diurnal refractive stabilization, highlighting their potential role in managing post-RK complications and the need for further research.