Onefit Spotlight Case Report:
EXTREME DRY EYE SECONDARY TO CORNEAL EXPOSURE Thomas P. Arnold, OD FSLS
Introduction/History
65 y/o Caucasian female with exposure keratitis in the right eye following eyelid surgery for thyroid orbital disease. Previous strabismus SX for hypertropia. Type II diabetes and hypercholesterolemia.
Referred by MD for scleral lens fitting to improve vision and comfort.
Objective Findings/Subjective Comments
Current lenses:
OD: Onefit 15.2mm– 7.40 BC/70 CCR/-1.75–075 x 085/XLC/Flat 1/Flat 2
OS: monthly disposable soft toric
Manifest spectacle RX (2018):
OD -0.75 – 2.00 x 178 20/25
OS -1.25 – 0.75 X 027 20/20
SLE: Px improved but isolated SPK. Patient desires improved VA, comfort and longer hours of wear.
Dx Lens:
Onefit MED w/ Toric Haptics (TPC) 4600 sag / 16.0 Dia / -0.50 / Mid Peripheral Zone = Std / Limbal Zone = Std / TPC Landing Zone = +75/-75
Central clearance (OCT): 224 µm (30 minutes)
Over-refr
action: +2.75, 20/20-
Toric Haptic Laser Etch (Hash mark indicates flatter meridian) – 110-115˚
SLE: lens slightly decentered inferiorly; too flat in both meridians
Read the full case report here: Extreme Dry Eye Secondary to Corneal Exposure_Arnold_5.14.20