Option to Address Stubborn Astigmatism after Lasik - Scleral Lens

[WDD]

So, here's a perhaps more positive post in this area of the POA forum.

Had Lasik 25 years ago, and left eye for some reason has become a little near sighted and has some astigmatism. Corrective eye glasses on left did only so much. Tried a soft contact lens, helped a bit more but still not quite there. The weighted lens for astigmatism wouldn't work, wouldn't float correctly, so only the normal soft contact would work somewhat. Tried out a hard lens, but nothing would really fit the cornea front after it had been Lasik re shaped.

A while back I went to a place that specialized in Scleral contact lenses. It's a hard lens a bit larger than the size of soft contact lens. It rests not on the cornea front, but the white part of the eye (the sclera).

1) Vision is back to that extra sharp, as the astigmatism and the myopia are completely gone.
2) Low light, night vision acuity - already OK - is extra sharp now as well.
3) This is the most comfortable contact lens I've ever used. I need to look at the distance after putting it in just to double confirm it's in the eye.

So, if anyone is having stubborn issues with dialing in that extra bit of 20/20 and acuity, read up on this. Might be of help.

 

[Bathman]

Its a shame you don't get good VA in glasses as clear lens extraction with a toric IOL can work well. But the corneal topography must be stable.

If your needed sceral contacts lenses I would query post LASIK ectasia. Has then been investigated and if needed treated with Corneal Cross Linking.

You don't say how myopic you were or how much tissue was removed but back in the day the residual cornea bed was left thinner than it would be today.

 

[DickB]

My wife has had scleral lens for one year. She had dry eyes and as a result had frequent corneal abrasions. Any kind of wind would dry out her eyes.
Scleral lens are cupped and the patient puts a fluid into the lens before applying it. The fluid keeps the cornea moist and really works because the lens is so large. She loves them. Prior to this she had glasses and had used hard and soft contact5s. Scleral lens beat them all.

 

[Eldorado]

Sclera lens has been around since the 30-40s. they have been improved overtime, but are not the best option for most. A few people find they are the only option, and are worth the cost and complications.