Adjunct Use of Therapeutic Scleral Lens for Exposure Keratopathy after Severe Chemical Burn

Severe chemical burns can damage the periocular area causing exposure keratopathy and resulting in ocular pain, foreign body sensation, epiphora, photophobia, and vision loss. A custom fit large diameter therapeutic scleral lens can protect the ocular surface by preventing desiccation and providing...

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Bibliographic Details
Published in:Case reports in ophthalmology 2021-01, Vol.12 (1), p.243-247
Main Authors: Scanzera, Angelica C., Ahmad, Amjad, Shorter, Ellen
Format: Article
Language:English
Subjects:
Acids
Astigmatism
Burns
Case Report
Case reports
chemical burn
Contact lenses
Cornea
corneal trauma
Injuries
Patients
Quality of life
scleral lens
Skin & tissue grafts
Surgery
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Summary:Severe chemical burns can damage the periocular area causing exposure keratopathy and resulting in ocular pain, foreign body sensation, epiphora, photophobia, and vision loss. A custom fit large diameter therapeutic scleral lens can protect the ocular surface by preventing desiccation and providing immediate improvement in comfort. This case describes the management of a patient with extensive chemical burn with complete lid loss and exposure keratopathy who has maintained excellent visual acuity and comfort with therapeutic scleral lens use.
ISSN:1663-2699
1663-2699
DOI:10.1159/000511223