Objective:
To evaluate the effectiveness of scleral lenses in managing exposure keratopathy due to incomplete eyelid closure.
Approach:
- Case History: A 59-year-old woman with chronic facial nerve palsy and persistent exposure keratopathy was evaluated for scleral lens fitting after prior management strategies failed.
- Lens Fitting: The patient was fitted with a SynergEyes VS scleral lens and a daily disposable soft lens, with iterative adjustments made to improve fit and comfort.
Key Findings:
- The patient achieved visual acuity of approximately 20/20 OD with improved comfort and daily function.
- Corneal integrity improved, with reduced epithelial compromise and more stable ocular surface findings.
- Scleral lenses provided sustained ocular surface protection.
Limitations:
- The study is based on a single case report, limiting generalizability.
- Long-term outcomes and comparative effectiveness with other management strategies are not addressed.
Sources:
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