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Optical rehabilitation of a patient after keratitis using a fenestrated scleral lens: a case report
https://doi.org/10.33791/2222-4408-2025-1-35-41
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Abstract
Relevance. The use of scleral contact lenses (SCLs) is currently indicated for patients with complex ametropia and irregular corneal surfaces resulting from various causes. SCLs are effective in cases of intolerance to other vision correction methods or when glasses or standard contact lenses fail to provide satisfactory visual function and optical rehabilitation. A critical factor in SCL design is ensuring sufficient oxygen transmission for safe wear, which can be enhanced by fenestration. The study aims to demonstrate the possibility of optical rehabilitation in a post-keratitis patient using fenestrated scleral lenses made of Optimum Infinite material. Objective: to demonstrate the possibility of optical rehabilitation in a post-keratitis patient using fenestrated scleral lenses made of Optimum Infinite material. Materials and methods. A patient born in 2013 presented with complaints of low visual acuity. The patient’s history included keratitis, leading to ametropia uncorrectable with glasses. In addition to standard examinations, corneal topography, pachymetry, and morphological evaluation via scanning confocal microscopy were performed. Results. A scleral contact lens (OKVision SMARTFIT®) made of high-oxygen-permeable Contamac Optimum Infinite material with fenestration (1 × 0.3 mm) was fitted. The patient’s visual acuity improved from 0.08 to 0.9 after lens fitting. No complications associated with lens wear were observed during the follow-up period. Conclusions. Scleral contact lenses made from the high-oxygen-permeable material Contamac Optimum Infinite with fenestration can be recommended for optical correction in patients with ametropia induced by keratitis.
About the Authors
S. G. Bodrova
Cheboksary Branch of the S. Fyodorov Eye Microsurgery Federal State Institution
Russian Federation
Svetlana G. Bodrova, Cand. Sci. (Med.), ophthalmologist at the Optical Vision Correction Department of the Cheboksary Branch
10, Traktorostroiteley Ave., Cheboksary, 428028
Cheboksary Branch of the S. Fyodorov Eye Microsurgery Federal State Institution; Institute for Advanced Training of Physicians
Russian Federation
Maxim V. Sinitsyn, Cand. Sci. (Med.), Неаd of the Pediatric Department of the Cheboksary Branch of the S. Fedorov Eye Microsurgery Federal State Institution; Associate professor at ophthalmology course of The Postgraduate Doctors’ Training Institute
10, Traktorostroiteley Ave., Cheboksary, 428028
27, Mikhail Sespel Str., Cheboksary, 428018
Cheboksary Branch of the S. Fyodorov Eye Microsurgery Federal State Institution; Institute for Advanced Training of Physicians; Chuvash State University named after I.N. Ulyanov
Russian Federation
Nikolay P. Pashtaev, Dr. Sci. (Med.), Professor, Lead Specialist at the Cheboksary Branch of the S. Fedorov Eye Microsurgery Federal State Institution; Неаd of the Ophthalmology Course at the Institute for Advanced Training of Physicians; Head of the Department of Ophthalmology and Otorhinolaryngology at the Chuvash State University named after I.N. Ulyanov
10, Traktorostroiteley Ave., Cheboksary, 428028
27, Mikhail Sespel Str., Cheboksary, 428018
15, Moskovsky Ave., Cheboksary, 428003
Cheboksary Branch of the S. Fyodorov Eye Microsurgery Federal State Institution
Russian Federation
Maria M. Sitka, Cand. Sci. (Med.), Неаd of the Optical Vision
Correction Department
10, Traktorostroiteley Ave., Cheboksary, 428028
Cheboksary Branch of the S. Fyodorov Eye Microsurgery Federal State Institution; Institute for Advanced Training of Physicians
Russian Federation
Anna A. Voskresenskaya, Cand. Sci. (Med.), Deputy Director for Scientific Work of the Cheboksary Branch of the S. Fedorov Eye Microsurgery Federal State Institution; Associate professor at ophthalmology course of The Postgraduate Doctors’ Training Institute
10, Traktorostroiteley Ave., Cheboksary, 428028
27, Mikhail Sespel Str., Cheboksary, 428018
Cheboksary Branch of the S. Fyodorov Eye Microsurgery Federal State Institution; Institute for Advanced Training of Physicians
Russian Federation
Nadezhda A. Pozdeyeva, Dr. Sci. (Med.), Director of the Cheboksary Branch the S. Fyodorov Eye Microsurgery Federal State Institution; Associate professor at ophthalmology course of the Institute for Advanced Training of Physicians
10, Traktorostroiteley Ave., Cheboksary, 428028
27, Mikhail Sespel Str., Cheboksary, 428018
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For citations:
Bodrova S.G.,
Sinitsyn M.V.,
Pashtaev N.P.,
Sitka M.M.,
Voskresenskaya A.A.,
Pozdeyeva N.A.
Optical rehabilitation of a patient after keratitis using a fenestrated scleral lens: a case report. The EYE GLAZ. 2025;27(1):35-41.
(In Russ.)
https://doi.org/10.33791/2222-4408-2025-1-35-41
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