Online Photo Diagnosis - Summary - MDSpire

Online Photo Diagnosis

  • By

  • Daniel Deligio, OD

  • May 1, 2026

  • 2 min

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Objective:

To evaluate the effectiveness of scleral lenses in a patient with keratoconus and assess the need for ongoing monitoring.

Approach:
    Key Findings:
    • Best-corrected vision was 20/60 OD and 20/50 OS with habitual lenses.
    • AS-OCT revealed inadequate central clearance and significant apical bearing over corneal scarring.
    • New lenses improved vision and comfort.
    Interpretation:

    Ongoing monitoring of keratoconus patients is crucial to assess lens fitting and corneal stability, as changes can lead to complications.

    Limitations:
    • Uncertainty whether corneal scarring was due to keratoconus progression or lens fit issues.
    • Follow-up intervals may vary based on individual disease severity.
    Conclusion:

    Regular follow-up is essential for keratoconus patients to prevent complications and determine the need for interventions like corneal cross-linking.

Original Source(s)

Online Photo Diagnosis

  • by Daniel Deligio, OD

  • May 1, 2026

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