Visual rehabilitation using miniscleral lens in advanced keratoconus

Abstract

Aim: The aim of this study is to visually rehabilitate patients with advanced keratoconus with miniscleral contact lens. Materials and Methods: Miniscleral lens were prescribed in 11 eyes of 8 patients with advanced keratoconus. Inclusion criteria Amsler Krumeich Grade 2 with poor spectacle corrected visual acuity (<0.5logMAR) for the duration of 1 year. Results:Mean age was 18.75 years. Males and females were 50% each. Mean of uncorrected, spectacle corrected, best-corrected visual acuity with contact lens was 1.28logMAR, 0.96logMAR, and 0.12logMAR, respectively. Visual improvement was minimal with spectacles (0.5 Snellen lines, 0.32logMAR), whereas miniscleral contact lens showed additional improvement of 4.5 Snellen lines (1.16logMAR), respectively. Conclusion: Visual rehabilitation with miniscleral contact lens in advanced keratoconus showed excellent improvement in visual acuity and reduced the need for corneal transplantation.

Keywords

• advanced keratoconus
• miniscleral lens
• nonsurgical management of advanced keratoconus