Online Photo Diagnosis

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

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.

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

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

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