Clinical Scorecard: Online Photo Diagnosis: Post-Graft Alternatives to Scleral Lenses
At a Glance
| Category | Detail |
|---|---|
| Condition | Post-graft corneal irregularities |
| Key Mechanisms | Irregular corneal topographies with central flattening and steep midperipheral zones |
| Target Population | Post-graft patients previously using corneal GP lenses |
| Care Setting | Ophthalmology and optometry clinics |
Key Highlights
- Post-graft patients may require advanced specialty lenses due to irregular corneal topographies.
- Standard GP designs often fail to center on post-graft corneas.
- Customized corneoscleral lenses can improve centration and alignment.
- Patient education on lens application is crucial to avoid complications.
- Nonpreserved lubricating drops are recommended to prevent air bubbles.
Guideline-Based Recommendations
Diagnosis
- Assess corneal topography to identify irregularities post-graft.
Management
- Consider customized high-Dk intralimbal or corneoscleral GP lenses for fitting.
Monitoring & Follow-up
- Regular follow-up to evaluate lens fit and corneal health.
Risks
- Potential for localized keratitis and lens decentration.
Patient & Prescribing Data
Patients post-corneal graft with previous GP lens experience
Larger lenses may be applied incorrectly, leading to complications.
Clinical Best Practices
- Utilize intralimbal or corneoscleral lens designs for better fitting.
- Educate patients on proper lens application techniques.
- Monitor for signs of keratitis and lens-related complications.
References
- Contact lens wear after corneal transplantation
- Contact Lenses: KCK: post-graft fitting
- Case report of a corneo-scleral RGP lens
- Contact lenses after corneal transplant
- Help! I’ve Been Grafted:
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