Objective:

To highlight the significant connection between chronic insomnia and ocular surface disease, demonstrating how scleral lenses can improve both vision and sleep quality.

Key Findings:

• The patient experienced significant improvement in vision metrics and sleep quality after scleral lens fitting.
• Nocturnal lagophthalmos was identified as a contributing factor to her insomnia, leading to corneal epithelial breakdown.
• Scleral lenses combined with nighttime lubrication led to normalized corneal topography and improved quality of life.

Interpretation:

This case illustrates the impact of ocular conditions on systemic sleep disturbances and highlights the potential of scleral lenses as a treatment option for similar patients.

Limitations:

• The study is based on a single patient case report, limiting generalizability and the ability to draw broader conclusions.
• Long-term effects of scleral lens use on insomnia and ocular health need further investigation, particularly in a controlled setting.

Conclusion:

Scleral lenses can significantly enhance the quality of life for patients suffering from exposure-related keratopathy and insomnia, providing a novel approach to treatment while emphasizing the need to recognize nocturnal lagophthalmos.