To describe the fitting of scleral lenses for a patient with dry eye and presbyopia.
Approach:
Patient Case: A 79-year-old female with a history of ocular conditions was fitted with scleral lenses to address blurry vision and ocular surface dryness.
Lens Design: Customizable scleral lenses with center-near and center-distance optics were trialed to accommodate the patient's visual demands.
Fitting Process: The patient evaluated visual quality subjectively, preferring center-near lenses for both distance and near vision.
Key Findings:
The patient achieved satisfactory visual performance despite some lens decentration.
Final over-refraction improved distance visual acuity to 20/20.
The patient reported resolution of dryness symptoms and improvement in corneal staining.
Limitations:
The study is based on a single patient case.
Conclusion:
The patient experienced significant improvement in vision and dryness symptoms after using scleral lenses.
