Biography
Biography: Sergio Ozan
Abstract
This is a case study of a 51 year-old-patient with double corneal transplant in right eye; fi rst corneal transplant was done in
1993 and the transplant was rejected in a few months. Cornea was turned into leukomatous and second corneal transplant
was done by the end of 1993. Th e transplant was successful until 1999 when patient started losing vision; cornea became
totally leukomatous and irregular. It started with deformation of corneal limbus and the eyeball descending to lower eyelid
(keratoglobe). In 2016, I met the patient for the fi rst time with ophthalmologist diagnosis of eyeball evisceration. Th us the
patient was with deep depression. Due to the irregular and deformed cornea neither an ocular prosthesis nor soft prosthetic
lens could be adapted. So I tried with a scleral lens. In the fi rst test the general condition of her irregular cornea improved
considerably, permitting a good tear fi lm fl ow between the cornea and the lens. I checked again her cornea and there was neither
vision nor light refl ection. I used a Scleral lens Atlantis by X-Cell with high permeability and adhered in the internal face a soft
lens with black pupil and iris hand painted. Th us the landing in the sclera was improved and was not ejected. I adapted a scleral
lens X-cell Atlantis, base curve 7.50, diameter 17.5 double fl ap. Th e patient felt very comfortable, with improved quality of life,
could insert herself at work again and now her life has completely changed for the better.