Online Photo Diagnosis - Scorecard - MDSpire

Online Photo Diagnosis

  • By

  • Daniel Deligio, OD

  • May 1, 2026

  • 2 min

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Clinical Scorecard: Online Photo Diagnosis

At a Glance

CategoryDetail
ConditionKeratoconus
Key MechanismsCorneal ectasia leading to irregular corneal shape and potential scarring.
Target PopulationPatients with keratoconus requiring scleral lenses.
Care SettingOphthalmology clinic

Key Highlights

  • Patient presented with decreased vision and comfort with scleral lenses.
  • AS-OCT revealed inadequate central clearance and apical bearing.
  • New lenses with increased sagittal depth improved vision and comfort.
  • Ongoing monitoring is crucial for corneal stability and lens fitting.
  • Follow-up intervals typically range from every 6 to 12 months.

Guideline-Based Recommendations

Diagnosis

  • Conduct comprehensive eye examinations and imaging like AS-OCT.

Management

  • Fit scleral lenses with appropriate vault and sagittal depth.

Monitoring & Follow-up

  • Regular follow-ups to assess corneal shape and lens fit.

Risks

  • Potential for mechanical stress, discomfort, reduced vision, and corneal scarring.

Patient & Prescribing Data

Individuals with keratoconus requiring lens management.

Adjust lens design based on corneal changes to maintain comfort and vision.

Clinical Best Practices

  • Monitor corneal stability and lens fitting regularly.
  • Consider corneal cross-linking for progressive cases.
  • Educate patients on signs of lens discomfort and vision changes.

Related Resources & Content

    Original Source(s)

    Online Photo Diagnosis

    • by Daniel Deligio, OD

    • May 1, 2026

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