Scleral Contact Lens to Preserve a Corneal Graft in Chronic Lagophthalmos


ÖZBEK Z., KEFELİ I.

Turkish Journal of Ophthalmology, vol.54, no.2, pp.103-107, 2024 (Scopus) identifier identifier

  • Publication Type: Article / Article
  • Volume: 54 Issue: 2
  • Publication Date: 2024
  • Doi Number: 10.4274/tjo.galenos.2024.68253
  • Journal Name: Turkish Journal of Ophthalmology
  • Journal Indexes: Scopus
  • Page Numbers: pp.103-107
  • Keywords: Cicatricial lagophthalmos, ectropion, exposure keratopathy, facial burn, scleral contact lens
  • Dokuz Eylül University Affiliated: Yes

Abstract

Facial burns involving the periorbital region may lead to cicatricial ectropion and lagophthalmos, causing severe exposure keratopathy and eventually blindness if uncorrected. In these patients, it is critical to provide aesthetic and functional surgical correction to protect the ocular surface from chronic desiccation in addition to visual rehabilitation. Conventional methods may not be sufficient to provide visual rehabilitation in complex cases. Scleral lenses can be a multipurpose alternative for these patients. Herein, we present the challenging case of a patient who developed cicatricial lagophthalmos and exposure keratopathy after facial transplantation due to gasoline burns and received a scleral contact lens for visual rehabilitation.