5 Key Takeaways

• 1

  Scleral lenses can cause complications like conjunctival compression and granulomas if not designed to match the ocular surface shape.

• 2

  A 45-year-old male with keratoconus experienced a pyogenic granuloma due to poorly fitting scleral lenses, leading to chronic irritation.

• 3

  Profilometry-guided freeform lenses were ordered to accommodate the patient's unique scleral surface, significantly reducing compression.

• 4

  The patient achieved improved vision of 20/20 in both eyes and reported good comfort after switching to the customized lenses.

• 5

  Sequential adjustments to the lenses were necessary as the granuloma resolved and the ocular surface shape changed.