Dr. Daddi Fadel, a contact lens expert, and educator begins by differentiating between issues and complications and how they affect patient contact lens use. We learn about the following issues and complications and how to manage them.
- Corneal touch
- Air Bubbles
- Corneal Staining
- Corneal Bogging
- Midday Fogging
- Conjunctival Prolapse
- Limbal Congestion
- Limbal touch
- Tight-fitting
- Lens Instability
- Residual astigmatism
- Deposits on lens surface
- Wettability
After asking us a few questions to assess the audience’s understanding of the issues and complications with scleral contact lenses, Dr. Fadel then explains the handing and care procedures for scleral contact lens wearers. The session ends with an interesting question and answers segment with the live audience.
References
Papers
Fadel, D., & Toabe, M. (2018). Scleral Lens Issues and Complications Related to Handling, Care, and Compliance. Journal of Contact Lens Research and Science, 2(2), e1-e13.
http://www.jclrs.org/index.php/JCLRS/article/view/24
Fadel D. Scleral Lens Issues and Complications Related to a Non-optimal Fitting Relationship Between the Lens and Ocular Surface. Eye Contact Lens. 2019 May;45(3):152-163.
https://pubmed.ncbi.nlm.nih.gov/29944502/
Fadel, D., & Toabe, M. (2018). Compliance Using Scleral Lenses. Journal of Contact Lens Research and Science, 2(1), e22-e29.
http://www.jclrs.org/index.php/JCLRS/article/view/21
Books
Scleral lens issues and complications – Daddi Fadel
https://sclerallensbook.com/collections/book
Contemporary scleral lenses: theory and application – by Melissa Barnett and Lynette Johns
https://www.amazon.com/Contemporary-Scleral-Lenses-Ophthalmology-Developments-ebook/dp/B077JR1TCP
A guide to scleral lens fitting – Eef van der Worp
Clinical guide for scleral lens success – Melissa Barnett and Daddi Fadel