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 A corneal lens had been worn successfully in the early stages after diagnosis, but gave increasing discomfort as it aggravated a proud epithelial nebula, seen here at the apex of the cornea. A corneal transplant was offered, but the patient declined, preferring to try further contact lens options.
 A sealed RGP Scleral lens was an uncomplicated fitting exercise. The final lens had full corneal clearance, totally relieving the discomfort. After three years of alternating between corneal and Scleral lenses, the patient has switched entirely to use of the scleral lens only. |
