1. Case 1 DW Scleral lens for Keratoconus
51yo WM VP Sales Tech Company
1. Hobbies- Ice Hockey, Boot camp workouts at 5:30 am
2. Hours/day on computer 6. Laptop primarily.
3. Hours/week spent outdoors with 2 kids
POH: Keratoconus OS >> OD,
OU: Allergic conjunctivitis controlled with Pataday,
OD: HZO 2009
OU: Floaters
PMH: Herpes Zoster 2009, HTN, Vasovagal syncope
CC: Concerned about Wave corneal lens popping out playing hockey
Exam: Spectacle Rx OD – 1.25 x /30 Add +1.75
OS x /40 Add +1.75
VA cWave Dist Center MF RGP’s OD 20/20-2 and OS 20/25
HVID 12.00
OD dominant
Plan to refit into MF Scleral lens

2. Rx OD – 1.25 x 075 Add +1.75
OS x 097 Add +1.75
HVID 12.00
OD dominant

4. Add zone size used: OD 3.0 and OS 3.0
MOR cCL OD /20 20/20 and OS plano x /20 20/20
Ccl only Near range
OD Best at /20
OS Best at /25
OCT center clearance: OD 262 and OS 420um
Delivered lenses with no changes

5. Pupil size: OD 3.0 and OS 3.0
MOR cCL OD /20 20/20 and OS plano x /20 20/20
Ccl only Near range
OD Best at /20
OS Best at /25
OCT center clearance: OD 262 and OS 420um
Delivered lenses with no changes