Avoiding Surgery: Successful Management of a Patient With Severe Keratoconus Using Scleral Contact Lenses

Keratoconus is a degenerative and progressive corneal disease that occurs bilaterally and asymmetrically. The cornea's thinning and protrusion are its defining features. Vision is decreased as a result of these changes. This case report demonstrates how a severe keratoconus patient was managed with scleral contact lenses, thereby effectively precluding the need for surgery. Despite the challenges of this condition, scleral lenses work well. Here, I describe the case of a 34-year-old male who came to our center with a known history of severe keratoconus. His uncorrected visual acuity was counting fingers in each eye, with minimal improvement from eyeglasses. He had routine exams, and I confirmed that he was a good candidate for wearing scleral lenses. I successfully fitted this patient with mini-scleral lenses in both eyes. The fitting was optimal, which allowed the patient to achieve a 20/30 visual acuity in each eye, emphasizing the positive impact of this non-surgical approach. This case study intends to document the success of managing severe keratoconus using scleral contact lenses.