Scleral lenses restored 20/20 vision in both eyes in advanced bilateral keratoconus.
Visual Rehabilitation of Bilateral Keratoconus With Customized Scleral Lenses: A Case Report.
Nabila Y Al-Tamimi … Ramdas Gore
Cureus · 2026
Background
The clinical management and visual rehabilitation of a 24-year-old female with bilateral keratoconus (OD > OS) successfully fitted with scleral lenses is presented.
Purpose
Refraction revealed +3.00 -5.00 × 105 in OD and +1.50 -3.00 × 080 in OS.
6/6 (20/20)
Results
6/6 (20/20)
eye chart reading with lenses on: both eyes reached normal, sharp vision
More results
Diagnostic scleral lenses were selected based on sagittal depth, guided by Kmax values.
Topographic analysis revealed advanced ectatic changes in OD (Kmax: 70.80 D; enhanced ectasia score: 17.99 D).
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Conclusion
This case highlights the clinical value of scleral lenses as a reliable approach for managing irregular corneas and progressive ectasia.