{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T08:25:07Z","timestamp":1761294307714,"version":"3.41.0"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract:<\/jats:title>\n          <jats:p>A 38-year-old woman, previous daily disposable soft contact lens wearer, reported an episode of microbial keratitis positive for <jats:italic toggle=\"yes\">Pseudomonas aeruginosa<\/jats:italic> 11 months before contacting the investigators. After acute treatment, she was left with a degree of opacity in the pupillary area, corneal scar, and an irregular corneal profile, with a best spectacle visual acuity of +0.48 logarithm of the minimum angle of resolution. A scleral lens was able to mask those corneal sequelae and, even considering the corneal opacity, the visual acuity recovered to +0.06 logarithm of the minimum angle of resolution. The patient was fitted with a 16.4-mm scleral lens and attended several appointments over a 12-month follow-up period. After 12 months of scleral lens wear, the improvement of both high-contrast and low-contrast visual acuities remained stable and a clearing of the corneal opacity was observed. The comfort was assessed with the Ocular Surface Disease Index questionnaire, which depicted a comfort enhancement from 75.0 to 47.9 over the short term. The Quality of Vision questionnaire was also administrated and showed an improvement on frequency, severity, and bothersome of the vision-related symptoms over time. Scleral lens may be a good option to improve vision, comfort, and restore the ocular surface function in patients with corneal scars and opacities secondary to microbial keratitis.<\/jats:p>","DOI":"10.1097\/icl.0000000000000794","type":"journal-article","created":{"date-parts":[[2021,4,30]],"date-time":"2021-04-30T16:57:38Z","timestamp":1619801858000},"page":"480-483","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Improvement of Vision and Ocular Surface Symptoms With a Scleral Lens After Microbial Keratitis"],"prefix":"10.1097","volume":"47","author":[{"given":"Rute J.","family":"Macedo-de-Ara\u00fajo","sequence":"first","affiliation":[]},{"given":"Colm","family":"McAlinden","sequence":"additional","affiliation":[]},{"given":"Eef","family":"van der Worp","sequence":"additional","affiliation":[]},{"given":"Jos\u00e9 M.","family":"Gonz\u00e1lez-M\u00e9ijome","sequence":"additional","affiliation":[]}],"member":"276","published-online":{"date-parts":[[2021,4,27]]},"reference":[{"key":"R1-20250601","doi-asserted-by":"crossref","first-page":"612","DOI":"10.1097\/00003226-199711000-00003","article-title":"A study of 530 patients referred for rigid gas permeable scleral contact lens assessment","volume":"16","author":"Pullum","year":"1997","journal-title":"Cornea"},{"key":"R3-20250601","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1097\/ICL.0b013e31823bafbc","article-title":"Management of vascularized limbal keratitis with prosthetic replacement of the ocular surface system","volume":"38","author":"Cressey","year":"2012","journal-title":"Eye Contact Lens"},{"key":"R4-20250601","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1016\/j.ajoc.2018.02.010","article-title":"Improvement of chronic corneal opacity in ocular surface disease with prosthetic replacement of the ocular surface ecosystem (PROSE) treatment","volume":"10","author":"Cressey","year":"2018","journal-title":"Am J Ophthalmol Case Rep"},{"key":"R5-20250601","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1016\/j.clae.2017.12.009","article-title":"On-eye breakage and recovery of mini-scleral contact lens without compromise for the ocular surface","volume":"41","author":"Macedo-de-Ara\u00fajo","year":"2018","journal-title":"Contact Lens Anterior Eye"},{"key":"R6-20250601","doi-asserted-by":"crossref","first-page":"5537","DOI":"10.1167\/iovs.10-5341","article-title":"The development of an instrument to measure quality of vision: The quality of vision (QoV) questionnaire","volume":"51","author":"McAlinden","year":"2010","journal-title":"Invest Ophthalmol Vis Sci"},{"key":"R7-20250601","doi-asserted-by":"crossref","first-page":"615","DOI":"10.1001\/archopht.118.5.615","article-title":"Reliability and validity of the ocular surface disease index","volume":"118","author":"Schiffman","year":"2000","journal-title":"Arch Ophthalmol"},{"key":"R8-20250601","doi-asserted-by":"crossref","first-page":"S89","DOI":"10.1016\/j.clae.2018.04.029","article-title":"Responses of contact lens wearers to OSDI and CLDEQ-8 questionnaires","volume":"41","author":"Alghamdi","year":"2018","journal-title":"Contact Lens Anterior Eye"},{"key":"R9-20250601","doi-asserted-by":"crossref","first-page":"e40","DOI":"10.1097\/ICL.0000000000000672","article-title":"Clinical findings and ocular symptoms over 1 year in a sample of scleral lens wearers","volume":"46","author":"Macedo-de-Ara\u00fajo","year":"2020","journal-title":"Eye Contact Lens"},{"key":"R10-20250601","doi-asserted-by":"crossref","first-page":"75003","DOI":"10.1117\/1.JBO.21.7.075003","article-title":"Light distortion and spherical aberration for the accomodating and nonaccomodating eye","volume":"21","author":"Macedo-de-Ara\u00fajo","year":"2016","journal-title":"J Biomed Opt"},{"key":"R11-20250601","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1097\/OPX.0000000000001570","article-title":"Optical quality and visual performance for one year in a sample of scleral lens wearers","volume":"97","author":"Macedo-de-Ara\u00fajo","year":"2020","journal-title":"Optom Vis Sci"},{"key":"R12-20250601","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1097\/ICL.0b013e3181da2339","article-title":"Severe pseudomonal keratitis in an infrequent daily disposable contact lens wearer","volume":"36","author":"Batta","year":"2010","journal-title":"Eye Contact Lens"},{"key":"R13-20250601","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1097\/01.icl.0000174748.45823.35","article-title":"A case of a pseudomonas corneal ulcer in an occasional use daily disposable contact lens wearer","volume":"32","author":"Munneke","year":"2006","journal-title":"Eye Contact Lens"}],"container-title":["Eye &amp; Contact Lens: Science &amp; Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/ICL.0000000000000794","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T17:01:18Z","timestamp":1748797278000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/ICL.0000000000000794"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,27]]},"references-count":12,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.1097\/icl.0000000000000794","relation":{},"ISSN":["1542-2321"],"issn-type":[{"type":"print","value":"1542-2321"}],"subject":[],"published":{"date-parts":[[2021,4,27]]},"assertion":[{"value":"2021-03-17","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}