3 Topic Commentaries

Scleral Lens Management of Paralytic Exposure Keratopathy

• 

  Erin M. Shriver, MD, FACS

  Oculoplastic, Orbit & Reconstructive Surgery

  •

  University of Iowa Carver College of Medicine

  Scleral hard lenses are especially beneficial in patients with CN V and CN VII palsies in that they can provide an excellent long-term solution for corneal exposure and can be customized to the patient's corneal and refractive needs.

  Source
• 

  Keith D. Carter, MD, FACS

  Oculoplastic, Orbit & Reconstructive Surgery

  •

  University of Iowa Carver College of Medicine

  A bandage contact lens (BCL) or scleral contact lens with concomitant topical antibiotic will protect the cornea from further drying, while also preventing infection.

  Source
• 

  Anisa Gire, OD

  Optometry

  •

  Wilmer Eye Institute, Johns Hopkins Medicine

  It’s instantaneous impact. You put these devices on and it's like magic. Patients just sit up, and they can take off their sunglasses and their hats and they can go outside. The pain is gone,” Gire says.

  Source