Management of exposure keratopathy associated with severe craniofacial trauma

Zoë R. Williams, James V. Aquavella

Research output: Contribution to journalArticlepeer-review

Abstract

We describe a case of severe craniofacial trauma with resultant exposure keratopathy that was refractive to traditional treatment measures including aggressive lubrication, tarsorrhaphy, platinum lid weight implantation, punctal plugs, correction of lid retraction, amniotic membrane application, and multiple bandage contact lenses. Through combined Boston scleral lens placement and traumatic cataract extraction with intraocular lens (IOL) implantation using scleral lens IOL power calculations, we were able to maximize patient comfort and attain superior visual acuity. To our knowledge, calculation of IOL power through a scleral lens has not been described.

Original languageEnglish (US)
Pages (from-to)1647-1650
Number of pages4
JournalJournal of cataract and refractive surgery
Volume33
Issue number9
DOIs
StatePublished - Sep 2007

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology
  • Sensory Systems

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