This patient suffered an acoustic neuroma at age 52. The tumour was successfully excised, but leaving a residual facial nerve palsy with consequent poor lid closure on the right side. The continuous exposure led to gross scarring and vacularisation, and unaided vision of counting fingers.

A sealed RGP Scleral lens was fitted, retaining a full and constant pre-corneal liquid reservoir. The visual acuity improved to 6/36 and the progress of the veovascularisation was held in status quo.