Treatment and Management of Ectrodactyly-Ectodermal Dysplasia-Clefting Syndrome With Scleral Prosthetic Devices

被引:0
|
作者
Labunski, Andrea [1 ]
Carrasquillo, Karen G. [1 ,2 ,3 ]
Brocks, Daniel [2 ]
机构
[1] New England Coll Optometry, Cornea & Contact Lens Dept, Boston, MA USA
[2] BostonSight Clin, BostonSight, Needham, MA USA
[3] 464 Hillside Ave,Suite 205, Needham, MA 02494 USA
来源
EYE & CONTACT LENS-SCIENCE AND CLINICAL PRACTICE | 2023年 / 49卷 / 06期
关键词
Scleral lenses; PROSE; Ectodermal dysplasia; EEC syndrome; Corneal neovascularization; OPHTHALMIC MANIFESTATIONS; REPLACEMENT;
D O I
10.1097/ICL.0000000000000987
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
This case report highlights the unique application and long-term benefits of customized scleral devices in a patient with ocular complications from ectrodactyly-ectodermal dysplasia-clefting (EEC) syndrome over the span of 10 years. A 13-year-old girl with a history of EEC syndrome and ocular manifestations, including severe bilateral dry eye disease, corneal neovascularization and scarring, progressive fibrous pannus, and limbal stem cell deficiency, was examined and fitted with scleral devices. The goal of treatment was to stabilize the ocular surface, enhance vision, and improve ocular comfort. Throughout the course of treatment, there was minimal progression in ocular signs, despite interruptions in scleral device wear from application and removal challenges secondary to ectrodactyly. Customized scleral devices provided an optimal environment to support the ocular surface, improve comfort, and improve visual acuity. Further studies are required to demonstrate the benefits of scleral devices in larger populations of patients with EEC syndrome.
引用
收藏
页码:262 / 265
页数:4
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