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Profilometry. Using romeo-scleral topography for scleral lens fitting

https://doi.org/10.33791/2222-4408-2019-4-19-22

Abstract

The world-wide use of scleral contact lenses has dramatically increased over the past 10 year and has changed the way that we manage patients with corneal irregularity. Successfully fitting them can be challenging especially for eyes that have significant asymmetries of the cornea or sclera. The future of scleral lens fitting is utilizing corneoscleral topography to accurately measure the anterior ocular surface and then using software to design lenses that identically match the scleral surface and evenly vault the cornea. This process allows the practitioner to efficiently fit a customized scleral lens that successfully provides the patient with comfortable wear and improved vision.

About the Author

Gregory W. DeNaeyer
Arena Eye Surgeons
United States

OD, FAAO, FSLS.

262 Neil Ave. Suite 320. Columbus, OH, 43221



References

1. Macedo-de-Araujo R.J., van der Worp E., Gonzalez-Meijo-me J.M. Practitioner learning curve in fitting scleral lenses in irregular and regular corneas using a fitting trial. Biomed Res Int. 2019. Jan.28; 2019: 5737124. doi: 1155/2019/5737124.eCollection 2019.

2. Schornack M.M., Patel SV. Relationship between corneal topographic indices and scleral lens base curve. Eye Contact Lens. 2010;36(6):330-333.

3. DeNaeyer G., Sanders D.R., Farajian T.S. Surface coverage with single vs. multiple gaze surface topography to fit scleral lenses. Cont Lens Anterior Eye. 2017;40(3):162-169.

4. DeNaeyer G., Sanders D.R., van der Worp E., Jedlicka J., Michaud L., Morrison S. Qualitative assessment of scleral shape patterns using a new wide field ocular surface elevation topographer: The SSSG Study. J Cont Lens Res Sci. 2017;1(1):12-22.

5. DeNaeyer G., Sanders D.R., Michaud L. et al. Correlation of corneal and scleral topography in cases with ectasias and normal corneas: The SSSG Study. J Cont Lens Res Sci. 2017;3(1):e10-e20.


Review

For citations:


DeNaeyer G.W. Profilometry. Using romeo-scleral topography for scleral lens fitting. The EYE GLAZ. 2019;21(4 (128)):19-22. (In Russ.) https://doi.org/10.33791/2222-4408-2019-4-19-22

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ISSN 2222-4408 (Print)
ISSN 2686-8083 (Online)