This eye has an extremely rare congenital condition known as Peters’ Anomaly. The symptoms include a very dry, irregular neovascularized cornea. In addition, the cornea is extremely cloudy and there is no iris (no pupil). The visual acuity in this eye is less than 20/1000.
To maximize this patient’s vision, we ordered a soft lens that was opaque (black) with a clear 5 mm pupil. Over this soft lens we placed a GVR gas permeable scleral lens. With this soft-scleral lens combination, this eye can now see 20/200 which is a dramatic improvement over the vision had before visiting our office. The patient is able to wear this lens combination all day with excellent comfort. See below.
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