5 Key Takeaways

• 1

  A 17-year-old female with congenital distichiasis experienced fluctuating vision with soft toric lenses.

• 2

  Congenital distichiasis is a rare genetic mutation affecting the FOXC2 gene, resulting in a second row of eyelashes.

• 3

  Treatment for congenital distichiasis is unnecessary if asymptomatic and without corneal compromise.

• 4

  The patient initially tried different soft toric lenses but ultimately opted for scleral lenses for better stability.

• 5

  Scleral lenses provided improved comfort and visual stability compared to the previously worn soft toric lenses.