Profilometry-Guided Scleral Lens Design for Keratoconus - Takeaways - MDSpire
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Profilometry-Guided Scleral Lens Design for Keratoconus

  • By

  • David Shin, OD

  • September 17, 2026

  • 4 min

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  • 1

    Scleral lenses can cause complications like conjunctival compression and granulomas if not designed to match the ocular surface shape.

  • 2

    A 45-year-old male with keratoconus experienced a pyogenic granuloma due to poorly fitting scleral lenses, leading to chronic irritation.

  • 3

    Profilometry-guided freeform lenses were ordered to accommodate the patient's unique scleral surface, significantly reducing compression.

  • 4

    The patient achieved improved vision of 20/20 in both eyes and reported good comfort after switching to the customized lenses.

  • 5

    Sequential adjustments to the lenses were necessary as the granuloma resolved and the ocular surface shape changed.

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