Objective:

To evaluate the effectiveness of scleral lenses in managing high astigmatism and progressive myopia in a pediatric patient.

Key Findings:

• The patient achieved 20/25 vision with scleral lenses.
• Mild rebound hyperemia was resolved with a second lens pair.
• The patient achieved 20/20 vision after bifocal prescription.
• No myopic progression was observed over 3 years.

Interpretation:

Scleral lenses can effectively manage high astigmatism and myopia in pediatric patients, especially when combined with pharmacologic interventions.

Limitations:

• Case study with a single patient may limit generalizability.
• Long-term effects beyond 3 years are not assessed.

Conclusion:

Scleral lenses, alongside pharmacologic myopia control, can provide significant visual and long-term benefits for young patients with complex refractive errors.