Objective:
To evaluate the effectiveness of scleral lenses in a patient with keratoconus and assess the need for ongoing monitoring.
Key Findings:
- Best-corrected vision was 20/60 OD and 20/50 OS with habitual lenses.
- AS-OCT revealed inadequate central clearance and significant apical bearing over corneal scarring.
- New lenses improved vision and comfort.
Interpretation:
Ongoing monitoring of keratoconus patients is crucial to assess lens fitting and corneal stability, as changes can lead to complications.
Limitations:
- Uncertainty whether corneal scarring was due to keratoconus progression or lens fit issues.
- Follow-up intervals may vary based on individual disease severity.
Conclusion:
Regular follow-up is essential for keratoconus patients to prevent complications and determine the need for interventions like corneal cross-linking.
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