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
Topography high keratoconus indiginous aborigine male keratoconus specialty contact lenses, keratoconus, scleral contact lenses, orthoK Brisbane, children’s optometrist, contact lens specialist, synergeyes contact lenses, keratoconus contact lenses, orthokeratology, hard contact lenses, maui jim, RGP contact lenses, corneal specialist, optometrist Brisbane, myopia control

Contact lens parameters

scleral RGP aborinal male patient keratoconus specialty contact lenses, keratoconus, scleral contact lenses, orthoK Brisbane, children’s optometrist, contact lens specialist, synergeyes contact lenses, keratoconus contact lenses, orthokeratology, hard contact lenses, maui jim, RGP contact lenses, corneal specialist, optometrist Brisbane, myopia control
scleral RGP left eye aborinal male patient keratoconus specialty contact lenses, keratoconus, scleral contact lenses, orthoK Brisbane, children’s optometrist, contact lens specialist, synergeyes contact lenses, keratoconus contact lenses, orthokeratology, hard contact lenses, maui jim, RGP contact lenses, corneal specialist, optometrist Brisbane, myopia control
  • 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