Adaptación de lente de contacto rígido de apoyo escleral en paciente adulto con diagnóstico de queratocono unilateral en Bogotá, 2024: Reporte de caso

Abstract

Keratoconus (KC) is a bilateral and progressive eye disease that thins and deforms the cornea, causing irregular astigmatism, decreased visual acuity and myopia (1). Due to the limitations of traditional treatments, innovative options have been developed, such as scleral contact lenses, which offer better visual correction and greater comfort. (6). Objective: To determine the ideal adaptation that allows visual rehabilitation with a scleral lens in an adult patient diagnosed with unilateral keratoconus. Methodology: Case description study. Where a scleral support contact lens is satisfactorily fitted to a patient with unilateral keratoconus in the right eye. Case description: A 31-year-old male patient, resident of Bogotá, was diagnosed with keratoconus in the right eye 3 years ago. Clinical management: Intermittent user of corneal rigid gas permeable contact lenses (RGCL) for 4 years, low tolerance and discomfort. Results: A Rose K2 XL scleral-supported rigid contact lens was adapted, achieving visual comfort with a schedule of 6 hours a day good visual acuity in the right eye at far and near (distance vision 20/40 (Snellen) and near vision (1.00 M). Conclusions: Scleral-support lenses maximize vision function, being at the same time an option compared to the low tolerance and adherence to treatment in other designs and materials, thanks to their solution reservoir within the lens that makes it possible to regularize the surface and recover visual function