title: Circinate corneal scarring.
abstract: A 56-year-old man presented with symptoms of monocular diplopia and reduced vision in his left eye. Visual acuities were R6/6, L6/12. At his previous visit left visual acuity was 6/6. An irregular area of anterior corneal stromal scarring was evident, encroaching on the visual axis of the left eye. Rigid lens fitting improved left visual acuity to 6/6, however, lens wear caused a corneal abrasion over the lesion after one to two hours of wear. Several other contact lens and surgical strategies were employed to successfully address the visual requirements of the patient.
authors.affiliation: Victorian College of Optometry, The University of Melbourne, Australia.
authors.forename: Sandra
authors.initials: S
authors.lastname: Coulson
authors.forename: Adrian
authors.initials: A
authors.lastname: Bruce
mesh_terms: D002921:Cicatrix / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D003261:Contact Lenses; D003316:Corneal Diseases / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D019781:Corneal Topography; D004172:Diplopia / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D019793:Fluorescein; D015590:Fluorophotometry; D006801:Humans; D008297:Male; D008875:Middle Aged; D014786:Vision Disorders / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D014792:Visual Acuity
chemical_list: D019793:Fluorescein