Onefit™ Spotlight Case Report: Utilizing Dual Controlled Peripheral Recesses to Improve Haptic Alignment
ROBERT ENSLEY, OD, FAAO, FSLS | GADDIE EYE CENTERS Dr. Ensley is a graduate of the University of Missouri-St Louis College of Optometry and went on to complete his Cornea & Contact Lens Residency program. He now practices at Gaddie Eye Centers in Louisville, KY where he specializes in fitting irregular cornea patients. Dr. Ensley is a Fellow of the American Academy of Optometry and a GPLI Advisory Board member. He is also a Fellow and board member of the Scleral Lens Education Society.
42 year old Caucasian male with keratoconus OD>OS. He had originally been fit with scleral lenses three years prior, but stopped wearing them about one year ago due to redness and discomfort, which had reduced his comfortable wear time to less than eight hours. He presented wearing spectacles which provide 20/100 acuity OD and 20/25 acuity OS at distance. The goal was to resume wearing scleral lenses because they did improve his quality of vision and were more convenient for working outdoors.
The patient does have moderate keratoconus, OD>OS. Topography confirms an oval cone with steep K measurements of 58 Diopters OD and 52 Diopters OS. Fortunately, there is no apical scarring in either eye. However, he does have bilateral pingueculae both nasally and temporally that would potentially affect the haptic alignment of a scleral lens. After evaluating his habitual scleral lenses, it was confirmed that the landing zone interfered with the pingueculae causing blanching on the horizontal meridian.
Read the full case report here: Onefit Spotlight: Utilizing Dual Controlled Peripheral Recesses