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[Bringing back scleral contact lenses].

J-M Laroche1, F Baëchelé, A Delcampe

  • 1Service d'Ophtalmologie, Groupe Hospitalier Bichat-Claude Bernard, Paris.

Journal Francais D'Ophtalmologie
|November 18, 2004
PubMed
Summary

New nonfenestrated scleral contact lenses offer an excellent alternative for patients intolerant to regular contact lenses, providing improved vision and comfort. These advanced lenses create a saline reservoir, bathing the cornea and enhancing ocular surface health.

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Area of Science:

  • Ophthalmology
  • Biomaterials Science
  • Corneal Disease Management

Background:

  • Traditional soft and hard contact lenses have largely replaced older scleral lens designs.
  • Recent advancements in scleral contact lens materials and designs have revived their clinical utility.
  • Nonfenestrated scleral contact lenses offer a unique solution for patients with contact lens intolerance.

Observation:

  • A retrospective study evaluated the efficacy of new nonfenestrated scleral contact lenses in patients with corneal conditions and intolerance to conventional lenses.
  • Fifteen eyes across 10 patients were fitted with these specialized lenses, with a mean follow-up of 16 months.
  • Indications included keratoconus, corneal grafts, refractive surgery complications, corneal dysplasia, and Stevens-Johnson syndrome.

Findings:

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  • The scleral lenses demonstrated excellent optical results and patient tolerance in the majority of cases (14 out of 15 eyes).
  • These lenses function by creating a fluid-filled reservoir over the cornea, maintaining constant hydration.
  • The study highlights the versatility of scleral lenses for both optical correction and therapeutic management of diverse corneal pathologies.

Implications:

  • Nonfenestrated scleral contact lenses represent a significant therapeutic option for individuals previously unable to wear conventional contact lenses.
  • This technology can improve visual acuity and reduce ocular discomfort in patients with complex corneal issues.
  • Further research into scleral lens applications may expand treatment paradigms for challenging ocular surface diseases.