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Summary
Modified scleral shells helped a patient with severe ocular injuries regain light perception. This visual aid improved mobility, orientation, and cosmetic appearance, aiding rehabilitation.
Area of Science:
- Ophthalmology
- Prosthetics
- Rehabilitation Medicine
Background:
- Severe bilateral ocular injuries can lead to profound vision loss, including hypotony and light perception.
- Scleral shells are used to manage ocular surface disease and improve cosmesis, but typically occlude vision.
Observation:
- A patient with bilateral ocular injuries and light perception vision was fitted with custom scleral shells.
- These shells were modified with a 4-mm central aperture to permit light transmission.
Findings:
- The modified scleral shells allowed the patient to retain light perception while wearing the prosthesis.
- This visual input facilitated independent ambulation and provided environmental cues for time, place, and direction.
Implications:
- Modified scleral shells can be a valuable tool in the visual and functional rehabilitation of patients with severe ocular trauma.
- This approach enhances patient independence, safety, and quality of life through improved visual function and cosmesis.