The Management of Refractory Dry Eye With Semi-Scleral Contact Lens


Yuksel E., Bilgihan K., Novruzlu S., Yuksel N., Koksal M.

EYE & CONTACT LENS-SCIENCE AND CLINICAL PRACTICE, vol.44, no.3, 2018 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 44 Issue: 3
  • Publication Date: 2018
  • Doi Number: 10.1097/icl.0000000000000267
  • Title of Journal : EYE & CONTACT LENS-SCIENCE AND CLINICAL PRACTICE

Abstract

We presented a case of refractory dry eye management with semi-scleral contact lens. Dry eye was associated with facial nerve (cranial nerve VII) palsy as a result of cerebellopontine angle tumor surgery. She was treated with several topical treatments and punctal plug. Despite the treatments, her symptoms still persisted. Her ophthalmic examination revealed scleral exposure because of lagophthalmos, conjunctival hyperemia, corneal debris, scar, and diffuse punctate epitheliopathy on her right eye. Lissamine green staining showed diffuse conjunctival and corneal staining. Therapeutic semi-scleral lenses were fitted. The corneal findings were resolved and the quality of patient life was improved with the aid of semi-scleral lens after 3 months.