Objective:
To diagnose and resolve mechanical bullae caused by improper fitting of scleral lenses.
Key Findings:
- Mechanical bullae are caused by insufficient vaulting of the scleral lens.
- Limbal clearance adjustments do not resolve the issue as they only increase space inside the contact point.
- Immediate refitting is advised to prevent long-term corneal damage.
Interpretation:
Choosing a lens with a larger vaulting chamber diameter is crucial for preventing epithelial bullae.
Limitations:
- Different lens designs may require specific adjustments beyond just diameter.
Conclusion:
The patient was successfully refitted with a larger-diameter scleral lens and remained free of complications.
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