Contact Lens Case Reports: Managing Diurnal RK Refractive Changes - Summary - MDSpire

Contact Lens Case Reports: Managing Diurnal RK Refractive Changes

  • By

  • Gregory W. DeNaeyer, OD, FAAO

  • July 1, 2025

  • 5 min

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Objective:

To report on the management of significant diurnal refractive fluctuations in a post-RK patient using scleral lenses, highlighting the clinical implications.

Key Findings:
  • The patient experienced refractive shifts primarily in the hyperopic direction, which is atypical for RK patients, suggesting a need for tailored management strategies.
  • Scleral lenses effectively stabilized the patient's vision without diurnal fluctuations, demonstrating their potential as a treatment option.
Interpretation:

Scleral lenses can be a viable option for managing diurnal refractive fluctuations in post-RK patients, particularly those with unique refractive patterns, emphasizing the need for individualized care.

Limitations:
  • The case report is based on a single patient, limiting generalizability; further studies are needed to evaluate the effectiveness of scleral lenses in a broader population of post-RK patients with varying refractive patterns.
Conclusion:

Customized scleral lenses not only improved vision for the patient but also provided diurnal refractive stabilization, highlighting their potential role in managing post-RK complications and the need for further research.

Original Source(s)

Contact Lens Case Reports: Managing Diurnal RK Refractive Changes

  • by Gregory W. DeNaeyer, OD, FAAO

  • July 1, 2025

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