5 Key Takeaways
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1
A 74-year-old male developed conjunctival prolapse after being fitted with a 16.5 mm scleral lens post-penetrating keratoplasty.
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2
Conjunctival prolapse is more common in elderly patients and may result from negative pressure forces under a scleral lens.
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3
The initial scleral lens design had excessive central vault, contributing to the patient's conjunctival prolapse.
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4
A redesigned scleral lens reduced central vault and optimized the haptic landing zone, leading to early improvement in prolapse.
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5
Further assessment of the redesigned lens will follow lens settling to evaluate the reduction in clearance and prolapse.
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