Case report assisted and written by Mariah Katzenberger from the Illinois College of Optometry. Graduation date of May 2025.
A 14-year-old male presented to our clinic nearly a year after experiencing ocular trauma OS from a 3-pronged fishing hook, also known as a treble hook.
The patient had a history of cataract surgery OS due to the traumatic cataract induced by the incident.Entrance acuities were 20/20 OD and 20/40 OS, with no visual improvement with refraction.
Due to anterior surface irregularities, a scleral lens was indicated. The fluid reservoir between the cornea and scleral lens fills in the “gaps” of the scarred, irregular cornea thereby creating a new, smooth optical surface.
The result is a reduction in aberrations and an overall improvement in visual clarity. Since a scleral completely vaults over the irregular cornea, it can provide the optimal fit, resulting in better stability of vision and comfort compared to other lens options such as hybrid lenses and corneal GPs.
With a scleral lens, this patient was able to achieve a visual acuity of 20/25 OS, which was 2 lines of visual improvement from previous BCVA.
