Reporte de caso: adaptación de lente de contacto rígido de apoyo escleral con diseño customisado en paciente con queratocono grado dos posts quirúrgicos de cross-linking con intolerancia a diseños convencionales en Bucaramanga, en 2024.

Abstract

Keratoconus is a pathological change characterized by corneal thinning that can be genetic or acquired throughout life, it is progressive and asymmetric in most cases Objective: To adapt a rigid contact lens with scleral support with custom design in a patient diagnosed with oval keratoconus grade II in the right eye and grade 2. 3 in left eye, post-surgical Cross Linkig and intolerance in the adaptation to conventional designs in Bucaramanga 2024 Methodology: Descriptive observational study of cross-sectional case report type. Where X-CELL ATLANTIS 2.0 contact lens is adapted to a patient with keratoconus grade 2 in both eyes satisfactorily. Case description: 28 year old male patient with a corneal ectasia keratoconus type grade 2 in the right eye and grade 2-3 in the left eye, and significant variation in diopters higher in the left eye, without successful experiences in their previous adaptations with rigid contact lens corneal support and soft contact lenses, in addition. The patient had a pathological diagnosis in ocular surface and anterior segment that led to the rejection of these adaptations; due to this, it was decided to adapt a rigid contact lens with scleral support in order to improve visual quality and ocular surface symptomatology. Results: Scleral support rigid contact lens with customized design (X-CELL ATLANTIS 2.0) was adapted, achieving visual comfort, complete improvement of distance and near visual acuity (20/20 in both eyes). Conclusions: Scleral-supported rigid contact lenses due to their corneal jumping characteristics and soft landing in the scleral zone offer invaluable visual comfort for the patient that allows rapid adaptation and tolerance over time, they are an excellent alternative in cases where there was rejection to adaptations with conventional designs.