{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:30:33Z","timestamp":1787761833834,"version":"build-2784847793"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,1]]},"abstract":"\n PURPOSE:<\/jats:title>\n The purpose is to study the change in visual acuity obtained with sclerocorneal contact lens (SCL) in patients with irregular corneal astigmatism.<\/jats:p>\n <\/jats:sec>\n \n METHODS:<\/jats:title>\n A prospective pre\u2013post observational study was designed to include consecutive consenting patients with irregular corneal astigmatism and best-corrected visual acuity worse than 6\/12 and fitted with SCL. Visual acuity was assessed using Snellen charts before fitting SCL and 1 week after the fit and converted to the equivalent logMAR units for analysis.<\/jats:p>\n <\/jats:sec>\n \n RESULTS:<\/jats:title>\n \n We included 51 eyes of 41 patients with a mean age of 26.31 \u00b1 8.86 of which 32 (78%) were men. Keratoconus was the most common indication (\n n<\/jats:italic>\n = 42 eyes, 82.35%), followed by corneal scar (\n n<\/jats:italic>\n = 3, 4%), post keratoplasty (\n n<\/jats:italic>\n = 2, 4%), high myopia (\n n<\/jats:italic>\n = 2, 4%), pellucid marginal degeneration (\n n<\/jats:italic>\n = 1, 2%), and aphakia (\n n<\/jats:italic>\n = 1, 2%). The mean overall uncorrected visual acuity improved significantly (\n P<\/jats:italic>\n < 0.001) with SCL from 1.18 \u00b1 0.34 logMAR (6\/120 Snellen's equivalent) to 0.27 \u00b1 0.15 (6\/9 Snellen's equivalent) at 1-week post-SCL fitting. The mean overall best spectacle-corrected visual acuity improved from 0.89 \u00b1 0.45 logMAR (6\/36 Snellen's equivalent) to 0.26 \u00b1 0.15 (6\/9 Snellen's equivalent) at 1-week post-SCL fitting.\n <\/jats:p>\n <\/jats:sec>\n \n CONCLUSION:<\/jats:title>\n Sclerocorneal contact lens improves visual acuity significantly in patients with irregular corneal astigmatism and reduces the need for corneal transplantation.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/sjopt.sjopt_268_21","type":"journal-article","created":{"date-parts":[[2023,3,9]],"date-time":"2023-03-09T06:11:51Z","timestamp":1678342311000},"page":"43-47","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Short-term visual outcome with sclerocorneal contact lens on irregular cornea"],"prefix":"10.4103","volume":"37","author":[{"given":"K Husna","family":"Noufal","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shruthi P.","family":"Babu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-9-20240830","doi-asserted-by":"crossref","first-page":"2013","DOI":"10.2147\/OPTH.S52483","article-title":"Scleral lens for keratoconus: Technology update","volume":"9","author":"Rathi","year":"2015","journal-title":"Clin Ophthalmol"},{"key":"R2-9-20240830","doi-asserted-by":"crossref","first-page":"241","DOI":"10.2174\/1874364101711010241","article-title":"Contact lenses for keratoconus \u2013 Current practice","volume":"11","author":"Moschos","year":"2017","journal-title":"Open Ophthalmol J"},{"key":"R3-9-20240830","doi-asserted-by":"crossref","first-page":"3923170","DOI":"10.1155\/2018\/3923170","article-title":"Fitting tips and visual rehabilitation of irregular cornea with a new design of corneoscleral contact lens: Objective and subjective evaluation","volume":"2018","author":"Abou Samra","year":"2018","journal-title":"J Ophthalmol"},{"key":"R4-9-20240830","doi-asserted-by":"crossref","first-page":"234","DOI":"10.4274\/tjo.galenos.2020.70481","article-title":"Update on contact lens treatment of keratoconus","volume":"50","author":"\u015eeng\u00f6r","year":"2020","journal-title":"Turk J Ophthalmol"},{"key":"R5-9-20240830","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1016\/S1888-4296(10)70022-4","article-title":"Current applications and efficacy of scleral contact lenses \u2013 A retrospective study","volume":"3","author":"Severinsky","year":"2010","journal-title":"J Optom"},{"key":"R6-9-20240830","doi-asserted-by":"crossref","first-page":"9707650","DOI":"10.1155\/2017\/9707650","article-title":"Nonsurgical procedures for keratoconus management","volume":"2017","author":"Rico-Del-Viejo","year":"2017","journal-title":"J Ophthalmol"},{"key":"R7-9-20240830","doi-asserted-by":"crossref","first-page":"410","DOI":"10.4103\/0301-4738.116066","article-title":"Contact lens in keratoconus","volume":"61","author":"Rathi","year":"2013","journal-title":"Indian J Ophthalmol"},{"key":"R8-9-20240830","doi-asserted-by":"crossref","first-page":"339","DOI":"10.4274\/tjo.galenos.2020.56804","article-title":"Use of a mini-scleral lens in patients with keratoconus","volume":"50","author":"Akkaya Turhan","year":"2020","journal-title":"Turk J Ophthalmol"},{"key":"R9-9-20240830","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1186\/s40662-016-0033-y","article-title":"Corneal surgery in keratoconus: Which type, which technique, which outcomes?","volume":"18","author":"Arnalich-Montiel","year":"2016","journal-title":"Eye Vis (Lond"},{"key":"R10-9-20240830","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1016\/j.joco.2017.11.002","article-title":"Updates on managements for keratoconus","volume":"30","author":"Mohammadpour","year":"2018","journal-title":"J Curr Ophthalmol"},{"key":"R11-9-20240830","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1016\/j.ajo.2017.10.022","article-title":"Scleral lenses reduce the need for corneal transplants in severe keratoconus","volume":"185","author":"Koppen","year":"2018","journal-title":"Am J Ophthalmol"},{"key":"R12-9-20240830","doi-asserted-by":"crossref","first-page":"320","DOI":"10.4103\/ijo.IJO_730_16","article-title":"Role of mini-scleral lens in mucous membrane pemphigoid","volume":"65","author":"Kumar","year":"2017","journal-title":"Indian J Ophthalmol"},{"key":"R13-9-20240830","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1016\/j.sjopt.2014.06.011","article-title":"Management strategies for persistent epithelial defects of the cornea","volume":"28","author":"Katzman","year":"2014","journal-title":"Saudi J Ophthalmol"},{"key":"R15-9-20240830","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1097\/OPX.0000000000001578","article-title":"Safety and efficacy of scleral lenses for keratoconus","volume":"97","author":"Fuller","year":"2020","journal-title":"Optom Vis Sci"}],"container-title":["Saudi Journal of 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