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Descripteurs (mots clés)
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Sclère
The white, opaque, fibrous, outer tunic of the eyeball, covering it entirely excepting the segment covered anteriorly by the cornea. It is essentially avascular but contains apertures for vessels, lymphatics, and nerves. It receives the tendons of insertion of the extraocular muscles and at the corneoscleral junction contains the canal of Schlemm. (From Cline et al., Dictionary of Visual Science, 4th ed)
Synonyme(s)
Sclera; SclérotiqueRelation(s)
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Case Report: Remote Scleral Lens Fitting for High Toric Scleras in a Keratoconus Patient / Daddi Fadel in OVS : Optometry & Vision Science, vol. 100, 12 (Décembre 2023)
[article]
in OVS : Optometry & Vision Science > vol. 100, 12 (Décembre 2023)
Titre : Case Report: Remote Scleral Lens Fitting for High Toric Scleras in a Keratoconus Patient Type de document : article de périodique Auteurs : Daddi Fadel ; Cian Gildea Année de publication : 2023 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus HELB]:Paramédical:Lentille sclérale
[Thésaurus Mesh]Kératocône
[Thésaurus Mesh]Optométrie
[Thésaurus Mesh]Présentations de cas
[Thésaurus Mesh]SclèreMots-clés : sclères à tore profilométrie cornéosclérale Résumé : SIGNIFICANCE: Technology plays a crucial role in customizing scleral lenses and improving lens alignment, especially in challenging scleral shapes. In addition, remote fitting technology allows optometrists to extend their expertise globally, empowering patients to access to customized lenses without travel expenses. PURPOSE: The objective of this study was to document the difficulties encountered in fitting a scleral lens in a patient with keratoconus and pronounced scleral toricity. In addition, the study aimed to present the successful remote fitting achieved by using advanced technology. CASE REPORT: An Irish male patient diagnosed with keratoconus exhibited high scleral toricity. Generally, keratoconus eyes often exhibit significant scleral asymmetry associated with cone decentration and disease severity. Improperly aligned scleral lenses can lead to regional changes in scleral shape, lens decentration, discomfort, and visual disturbances. Indeed, previous scleral lens fits were unsuccessful because of these issues. Corneoscleral profilometry was acquired in Ireland and then used in Italy to design customized lenses, which were then delivered to the patient's optometrist in Ireland. The first lenses designed and delivered demonstrated excellent overall performance without requiring adjustments. CONCLUSIONS: This report highlights the importance of corneoscleral profilometry to increase efficiency and reduce lens reorders and chair time, and the remote fitting in overcoming barriers to accessing specialized lens fitting. Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
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