Blunt Trauma to Right Eye with Hemorrhage and Partial Transplant, Vitrectomy, and Cataract Surgery. Now 20/60 with GVR Scleral Lens
One year ago this patient suffered a blunt trauma to his right eye. This resulted in a severely damaged cornea and a hemorrhage within the eye. Shortly thereafter, his right eye underwent a partial corneal transplant known as a DSEK. In addition, a vitrectomy was done which involves the surgical removal of the vitreous gel within the eye (done to clear away the blood). This was followed by cataract surgery several months later. Due to the ocular trauma and the multiple eye surgeries that were done, this eye was left with no iris and therefore no pupil. In addition, the transplanted cornea while healthy and clear was extremely distorted. Several weeks ago, in an effort to restore vision to this severely damaged eye, we fit this eye with a GVR Scleral lens. Before placing the scleral lens on this eye, it became necessary to provide this eye with a new pupil. This was done by first placing an opaque black soft lens with an 8 mm pupil on the damaged eye. Over this blackened soft lens we placed our specially designed scleral lens. Without this soft/scleral lens combination, this patient’s best corrected visual acuity is less than 20/200 with significant distortions. With this specialty lens combination this patient is able to see 20/60 without any distortions. The purpose of fitting this eye with a scleral lens was to correct the distorted vision created by the distorted transplanted cornea. The photo below is of me along with this very special patient. Below left is a photo of his right eye without any corrective lens. Note that there is no iris and no pupil. The lower right photo is of the blackened soft lens with the clear pupil. Over this lens can be seen the gas permeable scleral lens. This patient is able to wear the lens combination comfortably with all day wear.
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