结论:技术在定制巩膜晶状体和改善晶状体对准方面起着至关重要的作用,特别是在具有挑战性的巩膜形状。此外,远程安装技术允许验光师在全球范围内扩展他们的专业知识,使患者无需旅行费用即可获得定制镜片。
目的:本研究的目的是记录1例圆锥角膜和明显巩膜复眼症患者在安装巩膜晶状体时遇到的困难。此外,该研究旨在展示利用先进技术成功实现的远程拟合。
方法:一名被诊断为圆锥角膜的爱尔兰男性表现出高巩膜复光度。一般来说,圆锥角膜眼通常表现出与圆锥偏心和疾病严重程度相关的显着巩膜不对称性。巩膜晶状体不正确对准会导致巩膜形状的区域变化,透镜偏心,不适,和视觉障碍。的确,由于这些问题,以前的巩膜晶状体拟合不成功。Corneo巩膜轮廓术在爱尔兰获得,然后在意大利用于设计定制镜片,然后将其交付给爱尔兰患者的验光师。设计和交付的第一个镜头展示了出色的整体性能,无需调整。
结论:本报告强调了角膜巩膜轮廓术对提高效率和减少晶状体重新订购和椅子时间的重要性,以及远程配件,以克服访问专用镜头配件的障碍。
CONCLUSIONS: Technology plays a crucial role in customizing scleral lenses and improving lens alignment, especially in challenging scleral shapes. In addition, remote fitting technology allows optometrists to extend their expertise globally, empowering patients to access to customized lenses without travel expenses.
OBJECTIVE: The objective of this study was to document the difficulties encountered in fitting a scleral lens in a patient with keratoconus and pronounced scleral toricity. In addition, the study aimed to present the successful remote fitting achieved by using advanced technology.
METHODS: An Irish male patient diagnosed with keratoconus exhibited high scleral toricity. Generally, keratoconus eyes often exhibit significant scleral asymmetry associated with cone decentration and disease severity. Improperly aligned scleral lenses can lead to regional changes in scleral shape, lens decentration, discomfort, and visual disturbances. Indeed, previous scleral lens fits were unsuccessful because of these issues. Corneoscleral profilometry was acquired in Ireland and then used in Italy to design customized lenses, which were then delivered to the patient\'s optometrist in Ireland. The first lenses designed and delivered demonstrated excellent overall performance without requiring adjustments.
CONCLUSIONS: This report highlights the importance of corneoscleral profilometry to increase efficiency and reduce lens reorders and chair time, and the remote fitting in overcoming barriers to accessing specialized lens fitting.