Famous Last Words
So, are corneal transplants and rigid lenses dead? No way! Not all patients with keratoconus or ectasia will be diagnosed and treated early for a variety of reasons, such as delayed care, limited diagnostic instruments, cost of care, etc. Irregular corneal astigmatism will still occur due to disease, trauma, surgery, and iatrogenic causes. For more severe corneal irregularities, these options will remain the mainstay. However, the trend toward early detection and intervention suggests more mild disease and a growing role for custom soft lenses. Their ability to fit a variety of ocular geometries and prescriptions positions them comfortably and effectively as a growing and key component of the future of care.
References
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10. Su, B., Yu, A., Chung, D., Greenstein, SA., Gelles, JD. (2023). Success with Soft Contact Lenses after Failure of Rigid Contact Lenses in Keratoconus. Investigative Ophthalmology & Visual Science, 64 (8), 3539-3539.
11. Krisa, S. (2023). Your Weapon of Choice in Early Keratoconus and Mild Corneal Scars: Soft Toric Lenses. Global Specialty Lens Symposium Poster Session.
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13. Pritikin, E., Rodman, J., & Chiu, G. B. (2023). Average Scleral Lens Replacement Period at a Tertiary Care Hospital. Eye & contact lens, 49(10), 422–427.
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