Scleral Lenses and Irregular Corneas: Patient versus Practitioner Goals

For more than 25 years, my clinical care for the most part has involved providing vision care for individuals with Keratoconus and other types of irregular cornea. What I have come to appreciate is that what the patient seeks to achieve is often very different from what we as eye care providers are looking to accomplish.

First and foremost, individuals who have learned that they suffer from some sort of corneal irregularity that has begun to interfere with their vision, are simply seeking to address that very issue, their vision. Their other concern is that they are not “going to go blind” from the condition. They don’t think about how the selection and application of a vision care correction might adversely affect their future ocular health.

Is it safe to use BAK containing eyewashes?

Usage of eyewashes has increased drastically for healthy eyes due pollinosis and increase usage of contact lenses. Recently they summarised that usage of eye washes containingpreservative BAK showed some disorders such as, collapse of the mucin layer in cornea and epithelium disorders. They also stated that BAK free ophthalmic solutions are used for the treatment of glaucoma, dry eyes and eye allergies. Eye washes lacking BAK showed reduction in corneal disorder.

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