Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Jul 1;47(7):426-428.
doi: 10.1097/ICL.0000000000000776.

Progression From Soft Lens to Piggyback Soft-Scleral Contact Lens System to Facilitate Scleral Lens Use in a Pediatric Patient

David A Murphy  1 , Jeffrey S Samples, Emily M Zepeda, Kamran M Riaz
Affiliations

Progression From Soft Lens to Piggyback Soft-Scleral Contact Lens System to Facilitate Scleral Lens Use in a Pediatric Patient

David A Murphy et al. Eye Contact Lens. .

Abstract

Traumatic injury in the pediatric population often results in significant refractive errors that if left untreated can lead to amblyopia. Scleral contact lenses (ScCLs) have recently gained popularity in this population for efficacy in treatment of significant refractive errors, including irregularity astigmatism and corneal abnormalities. Scleral contact lens intolerance may limit the ability of practitioners to use this modality. Although a soft contact lens (SCL) is generally well tolerated, it cannot treat refractive error as effectively as an ScCL. We recently used an SCL followed by an SCL-ScCL combination ("piggyback" system) sequence in a pediatric patient to facilitate use of an ScCL alone. We hope that our results may provide practitioners with an additional option when treating this challenging patient population.

PubMed Disclaimer

Conflict of interest statement

The authors have no funding or conflicts of interest to disclose.

References

    1. Harthan JS, Shorter E. Therapeutic uses of scleral contact lenses for ocular surface disease: Patient selection and special considerations. Clin Optom (Auckl) 2018;10:65–74.
    1. Li X, Zarbin MA, Bhagat N. Pediatric open globe injury: A review of the literature. J Emerg Trauma Shock 2015;8:216–223.
    1. Lee CH, Su WY, Lee L, et al. Pediatric ocular trauma in Taiwan. Chang Gung Med J 2008;31:59–65.
    1. Gungor I, Schor K, Rosenthal P, et al. The Boston Scleral Lens in the treatment of pediatric patients. J AAPOS 2008;12:263–267.
    1. Rathi VM, Mandathara PS, Vaddavalli PK, et al. Fluid filled scleral contact lens in pediatric patients: Challenges and outcome. Cont Lens Anterior Eye 2012;35:189–192.