Case Report 9 – Scleral RGP contact lens – Keratoconus

Case Report 9 – Scleral RGP contact lens – Keratoconus

Case Report 9 – Scleral RGP contact lens – Keratoconus

26yo indigenous male with bilateral extreme keratoconus

Working in outback Australia – North Queensland and Northern Territory.

OD: +3.75 / -4.75 x 62   (6/9)  (UA 6/15)

OS: +3.00 / -4.50 x 135   (6/60-)  (UA 6/CF=)

Hallmark Signs

  • Fleischer Ring
  • Vogt’s Striae
  • Central stromal thinning
  • Prominent Corneal Nerves – easy to see on dark iris backdrop
  • Anterior Stromal Scars

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Contact lens parameters

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  • Gelflex 18.50 mini-sclearl RGP in Harmony Plus material
  • OD: 7.80/12.50/14.50/18.50/+3.50 CT 220um Sag 5774um (6/6=)
  • OD: 7.50/12.50/14.50/18.50/+2.00 CT 220um Sag 6049um (6/9)
  • Goal of apical clearance 150-250um

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847 Brunswick St (Cnr Merthyr Rd) New Farm, Brisbane, Qld 4005