Visual Rehabilitation With a Scleral Lens in an Eye With Corneal Scarring - Scorecard - MDSpire
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Visual Rehabilitation With a Scleral Lens in an Eye With Corneal Scarring

  • By

  • Maddison Fortman, OD

  • September 17, 2026

  • 4 min

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Clinical Scorecard: Visual Rehabilitation With a Scleral Lens in an Eye With Corneal Scarring

At a Glance

CategoryDetail
ConditionCorneal Scarring
Key MechanismsScleral lenses provide optical benefits and sustained ocular drug delivery.
Target PopulationPatients with corneal scarring from disease, trauma, or surgical complications.
Care SettingOphthalmology clinic

Key Highlights

  • Successful visual rehabilitation using a BostonSight Scleral lens.
  • Topical losartan administered to reduce corneal scar density.
  • Best-corrected visual acuity improved from hand motion to 20/20.
  • Scleral lens design included SmartChannels for enhanced tear exchange.
  • Topical losartan is off-label for reducing corneal scarring.

Guideline-Based Recommendations

Diagnosis

  • Assess visual acuity and slit lamp findings for corneal scarring.

Management

  • Fit scleral lenses for visual rehabilitation and sustained drug delivery.

Monitoring & Follow-up

  • Monitor visual acuity and ocular surface condition during treatment.

Risks

  • Topical losartan is not FDA approved for corneal scarring; potential for epithelial toxicity.

Patient & Prescribing Data

25-year-old female with keratoconus and corneal scarring.

Topical losartan 0.8 mg/ml administered 4 times daily in the scleral lens.

Clinical Best Practices

  • Incorporate SmartChannels in scleral lenses for patients with neovascularization.
  • Continue monitoring for optimal visual acuity and subjective visual quality.

Related Resources & Content

Original Source(s)

Visual Rehabilitation With a Scleral Lens in an Eye With Corneal Scarring

  • by Maddison Fortman, OD

  • September 17, 2026

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