Case Series: Transient Corneal Subepithelial Macrocysts with Scleral Contact Lens Wear

Author:

Nguyen Linda1,Yang David1,Vien Lee1

Affiliation:

1. Palo Alto Veterans Institute for Research

Abstract

Scleral lens wear is indicated in cases of corneal irregularity and ocular surface disease to improve vision and ocular surface condition. The purpose of this case series is to discuss transitory corneal subepithelial macrocysts associated with scleral lens wear in various conditions such as dry eye, post-radial keratotomy, and post-superficial keratectomy. Such diseased or damaged corneas have weakened epithelial attachments which can lead to macrocyst formation. Three cases documented with spectral-domain anterior segment optical coherence tomography highlight the clinical presentation of corneal subepithelial macrocysts. CE Notification: This article is available as a COPE accredited CE course. You may take this course for 1-hour credit. Read the article and take the qualifying test to earn your credit. Please check COPE course expiry date prior to enrollment. The COPE course test must be taken before the course expiry date.

Publisher

VuePoint IDS Inc.

Reference17 articles.

1. Corneal Epithelial Adhesion Disorders;Abraham Solomon,2013

2. Superficial keratectomy: indications and outcomes;Steven S. Bae;Canadian Journal of Ophthalmology,2018

3. Mini-scleral lenses for correction of refractive errors after radial keratotomy;Hsiao-Sang Chu;Eye Contact Lens,2018

4. Scleral lens–induced corneal edema after radial keratotomy;Thomas P. Arnold;Eye Contact Lens,2021

5. Radial keratotomy associated endothelial degeneration;Majid Moshirfar;Clinical Ophthalmology,2012

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