Scleral lenses presentation final (1)

Managing Complex Irregular Corneas with Scleral Contact Lenses Fernando Auza, O.D. Visionary Ophthalmology Lecture Series 11 February 20, 2011

Scleral Lenses Beyond the Borders ,[object Object],[object Object],[object Object]

Terminology Alternative Names Diameter Bearing Tear Reservoir Corneal 8.0 to 12.5mm Cornea No Tear Reservoir Corneo-Scleral Corneal-Limbal Semi-Scleral Limbal 12.5 to 15.omm Cornea and Sclera Limited tear reservoir Full Sleral Haptic Miniscleral 15.0-18.0 Large Scleral 18.0 – 25.0 Sclera Tear reservoir directly related to size of haptic

Indications ,[object Object],[object Object],[object Object]

1. Vision Improvement – Main indication ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

2. Corneal Protection ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

3. Cosmesis ,[object Object],[object Object],[object Object],[object Object],[object Object]

Scleral Lenses Vs Regular GP’s ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Scleral lenses and Surgery ,[object Object],[object Object],[object Object],[object Object],[object Object]

Keratoconus. Contact lens or keratoplasty? Ophthalmology. 1988 Apr;95(4):487-92. ,[object Object],[object Object],[object Object],[object Object],[object Object]

Anterior Ocular Anatomy ,[object Object],[object Object],7.5mm 7.0mm 5.5mm 6.5mm

Limbal and Anterior Scleral Shape ,[object Object]

Limbal profiles ,[object Object],[object Object],[object Object],Daniel Meier/die Kontaktlinse

Limbal profiles ,[object Object],[object Object],Contact Lens Spectrum, June 2010

Limbal and Scleral Angles; the Scleral Shape Study ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Simmulated Scleral Topography based on the Scleral Shape Study

Scleral Lens Design ,[object Object],[object Object],[object Object],Contact Lens Spectrum; Dec. 2009

The Haptic/Landing Zone ,[object Object],[object Object],[object Object],[object Object]

Fitting Spherical Scleral Lenses – Four Step Approach ,[object Object],[object Object],[object Object],[object Object]

Chosing the Diameter ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Optical/Clearance Zone Diameter ,[object Object],[object Object],[object Object],[object Object],[object Object]

Clearance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Evaluating corneal clearance ,[object Object],[object Object],[object Object],[object Object],[object Object]

Evaluating Central Corneal Clearance 50microns 250microns 500microns

Evaluating peripheral corneal clearance ,[object Object],[object Object],Trace limbal touch Limbal clearance

Limbal Clearance ,[object Object],[object Object],[object Object],[object Object],[object Object]

Landing Zone Fit ,[object Object],[object Object],[object Object],[object Object]

Lens Edge Lift ,[object Object],[object Object],[object Object],[object Object],[object Object]

Conjunctival Impingement Courtesy of Cristine Sindt, OD, FAAO

JC, 16y/o male presents for CEE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Soft Contact Lens Trial ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Discussed Regular GP’s and Scleral Lenses ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ID, 43y/o female presents for corneal evaluation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

LB, 28y/o female ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object]

OD:Jupiter 15.6/7.18/-7.00 OR -17.00 20/30 453microns 300microns 6.5mm OS: 7.03/-8.00/15.6 OR -24.00 20/50

Ordered ,[object Object],[object Object],[object Object]

Scleral lenses presentation final (1)

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