Scleral lens as a first therapeutic weapon in severe ocular burns
Summary
Purpose
To demonstrate the spectacular effect of therapeutic scleral lens in healing severe ocular burns.
Methods
Retrospective study of 6 eyes with severe ocular burns, complete limbal stem cell deficiency with limbal ischemia in 360°, corneal anaesthesia and resistant to medical treatment for more than 2 weeks without healing tendancy, presenting large complete corneal and limbal ulcer, fitted with therapeutic scleral lens Misa lens (Microlens*, The Netherlands) for continuous daily wear and filled with saline solution and daily control with fluid exchange.
Results
All eyes had complete re-epithelialisation in 1–3 weeks under therapeutic scleral lens alone, The healing proccess began from peripheral conjunctival epithelial cells.
Conclusions
Therapeutic scleral lens is magic solution to manage severe ocular burns and may be used as first therapeutic weapon.These cases show that epithelial stem cells are presents in all ocular surface not only limbus.
