Scleral Lens Management of Paralytic Exposure Keratopathy - Takeaways - MDSpire
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Scleral Lens Management of Paralytic Exposure Keratopathy

  • By

  • Angelica C. Scanzera, OD, MPH

  • September 17, 2026

  • 4 min

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  • 1

    Exposure keratopathy is caused by incomplete eyelid closure and leads to corneal desiccation and symptoms like irritation and fluctuating vision.

  • 2

    Management options for exposure keratopathy include lubrication, eyelid taping, surgical intervention, and scleral lenses.

  • 3

    A 59-year-old woman with chronic facial nerve palsy experienced persistent exposure keratopathy despite previous treatments.

  • 4

    Scleral lenses provided continuous corneal protection, improved visual acuity, and enhanced comfort for the patient.

  • 5

    Timely consideration of scleral lenses may help reduce corneal disease and improve comfort in patients with paralytic lagophthalmos.

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