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, cilt.44, sa.3, 2018 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 44 Sayı: 3
  • Basım Tarihi: 2018
  • Doi Numarası: 10.1097/icl.0000000000000267
  • Dergi Adı: EYE & CONTACT LENS-SCIENCE AND CLINICAL PRACTICE
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Anahtar Kelimeler: Dry eye, Facial nerve palsy, Semi-scleral contact lens, VERSUS-HOST-DISEASE
  • Gazi Üniversitesi Adresli: Evet

Özet

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.