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Contact Lens Case Reports:
Specialty Lens Compliance and Replacement

This case highlights changes that can cause issues over time when periodic follow-up appointments are missed.

By: Gregory W. DeNaeyer, OD, FAAO
Contact Lens Spectrum September 1, 2026 Vol 41, Issue September-October 2026 Page(s): 32

Clinical Report: Specialty Lens Compliance and Replacement

Overview

This case report discusses complications arising from missed follow-up appointments in a 15-year-old male patient fitted with scleral lenses. After three years without follow-up, significant lens deposits and reduced visual acuity were observed.

Background

Specialty contact lenses, such as scleral lenses, require meticulous care and regular follow-up to prevent complications. Noncompliance with care instructions can lead to severe ocular issues, including lens deposits and reduced visual acuity.

Data Highlights

No numerical data or trial data presented in the article.

Key Findings

  • A 15-year-old male with high astigmatism was fitted with scleral lenses.
  • After three years without follow-up, the patient presented with severe lens deposits and reduced visual acuity.
  • Initial visual acuity was 20/200 in the right eye and 20/20 in the left eye upon return.
  • Replacement lenses were ordered with increased sagittal depth, leading to improved vision at follow-up.

Clinical Implications

Practitioners should emphasize the importance of regular follow-up appointments and compliance with care instructions.

Conclusion

This case highlights the role of compliance and regular monitoring in the management of patients with specialty contact lenses.

Related Resources & Content

  1. Gregory W. DeNaeyer, OD, FAAO, Contact Lens Spectrum, 2025 -- Contact Lens Case Reports: Specialty Lens Compliance and Replacement
  2. contact lens spectrum — The Art and Science of Specialty Lens Fitting
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  8. https://www.accessdata.fda.gov/cdrh_docs/pdf24/P240045C.pdf
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  10. Risk Factors for Bacterial Keratitis and Severe Disease in Hydrogel Contact Lens Users: A Multi-Center Case Control Study and Case-Only Analysis - PMC
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  12. Global burden, risk factors, causative organisms and antibiotic susceptibility patterns in bacterial keratitis - ScienceDirect