Katsoulos Konstantinos, Rallatos Gerasimos Livir, Mavrikakis Ioannis
a Department of Oculoplastics and Orbit , Athens Eye Hospital , Glyfada , Greece.
Orbit. 2018 Jun;37(3):201-207. doi: 10.1080/01676830.2017.1383475. Epub 2017 Oct 20.
To present the management of three patients suffering from ptosis of various etiologies, with scleral contact lenses.
Three patients (five eyes) with ptosis resulting from levator dehiscence due to long-term rigid gas permeable contact lens wear for keratoconus, phthisis bulbi, and myopathy due to Kearns-Sayre syndrome were identified during a 2-year period. They were fitted with scleral contact lenses in order to provide cosmesis by lifting the upper eyelid with the bulk of the lens, and simultaneously provide vision correction where applicable.
The scleral contact lenses provided comfortable wear, significantly improved cosmesis as both palpebral aperture and marginal reflex distance were increased, and visual acuity was also subjectively and objectively improved. Two of the patients opted for the scleral contact lenses, whereas the parents of the third patient, a 10-year-old girl with Kearns-Sayre syndrome, chose to undergo ptosis surgery due to handling issues of the scleral contact lenses.
Scleral contact lenses can be a useful addition to the treatment option for patients with complicated ptosis.
介绍使用巩膜接触镜对三名病因各异的上睑下垂患者的治疗情况。
在两年时间里，确定了三名（五只眼）上睑下垂患者，病因分别为长期佩戴硬性透气性角膜接触镜治疗圆锥角膜导致的提上睑肌裂孔、眼球痨以及因卡恩斯-塞尔综合征引起的肌病。为他们佩戴巩膜接触镜，通过镜片的主体部分提升上睑来改善外观，并在适用时同时提供视力矫正。
巩膜接触镜佩戴舒适，显著改善了外观，睑裂孔径和边缘反射距离均增加，视力在主观和客观上也得到了改善。其中两名患者选择了巩膜接触镜，而第三名患者是一名患有卡恩斯-塞尔综合征的10岁女孩，其父母因巩膜接触镜的操作问题选择进行上睑下垂手术。
巩膜接触镜可作为复杂上睑下垂患者治疗选择的有益补充。
