Scleral Lenses for Presbyopes Struggling With Dry Eye

Clinical Report: Scleral Lenses for Presbyopes Struggling With Dry Eye

Overview

A case study of a 79-year-old female demonstrated improved visual acuity and resolution of dryness symptoms after fitting with customized scleral lenses.

Background

Scleral lenses are increasingly recognized as an effective therapeutic option for patients suffering from dry eye disease, particularly those with additional visual challenges such as presbyopia. The ability to customize these lenses for individual visual demands and ocular surface conditions is crucial for optimizing patient outcomes. This report highlights the successful application of scleral lenses in a patient with complex ocular needs.

Data Highlights

Parameter	Value
Age	79 years
Best-Corrected Visual Acuity (BCVA) OD	20/40
Best-Corrected Visual Acuity (BCVA) OS	20/80
Pupil Size	6 mm
Central Clearance	300 µm
Final Visual Acuity	20/20

Key Findings

The patient preferred center-near optics for both near and distance vision.
Initial lens fitting showed good stability and minimal decentration.
Post-fitting, the patient reported resolution of dryness symptoms and improved corneal staining.
Customization of lens design was essential for addressing the patient's specific visual and comfort needs.

Clinical Implications

Customization of lens design and optics is critical to meet individual patient needs.

Conclusion

The fitting of scleral lenses in this case illustrates their application in managing complex ocular conditions.