Clinical Report: Corneal Erosion Over ICRS During Scleral Lens Wear
Overview
This report discusses a case of a 55-year-old female keratoconus patient who experienced chronic epithelial erosion over an intrastromal corneal ring segment (ICRS) during scleral lens wear. The case highlights the importance of proper lens fitting and monitoring for potential complications.
Background
Keratoconus is a progressive eye disease that often necessitates the use of specialty lenses, particularly after ICRS implantation, to enhance visual acuity. The fitting of scleral lenses can be complicated by changes in corneal topography due to ICRS, which may lead to epithelial irritation and erosion. Understanding these complications is crucial for optimizing patient outcomes in keratoconus management.
Data Highlights
No numerical data or trial data is provided in the article.
Key Findings
A 55-year-old female keratoconus patient required ICRS removal due to chronic epithelial erosion.
The patient achieved 20/20 visual acuity with a properly fitted 16.5-mm scleral lens.
Fluorescein staining revealed epithelial erosions over the inferior ICRS after scleral lens wear.
Successful removal of the remaining ICRS allowed the patient to wear the same lens without further complications.
Proper vaulting of the scleral lens is essential to prevent epithelial irritation.
Clinical Implications
Clinicians should ensure proper fitting and monitoring of scleral lenses in keratoconus patients with ICRS to mitigate the risk of epithelial erosions. Regular follow-ups are necessary to assess lens fit and corneal health.
Conclusion
This case underscores the potential for epithelial erosions in keratoconus patients with ICRS during scleral lens wear, emphasizing the need for careful lens management.
