title: The Management of Refractory Dry Eye With Semi-Scleral Contact Lens.
abstract: We presented a case of refractory dry eye management with semi-scleral contact lens. Dry eye was associated with facial nerve (cranial nerve VII) palsy as a result of cerebellopontine angle tumor surgery. She was treated with several topical treatments and punctal plug. Despite the treatments, her symptoms still persisted. Her ophthalmic examination revealed scleral exposure because of lagophthalmos, conjunctival hyperemia, corneal debris, scar, and diffuse punctate epitheliopathy on her right eye. Lissamine green staining showed diffuse conjunctival and corneal staining. Therapeutic semi-scleral lenses were fitted. The corneal findings were resolved and the quality of patient life was improved with the aid of semi-scleral lens after 3 months.
authors.affiliation: Department of Ophthalmology (E.Y., K.B., S.N.), Faculty of Medicine, Gazi University, Ankara, Turkey; Department of Ophthalmology (N.Y.), Kahramanmaras City Hospital, Kahramanmaras, Turkey; and Department of Ophthalmology (M.K.), Private Modern World Hospital, Kayseri, Turkey.
authors.forename: Erdem
authors.initials: E
authors.lastname: Yuksel
authors.forename: Kamil
authors.initials: K
authors.lastname: Bilgihan
authors.forename: Şahin
authors.initials: Ş
authors.lastname: Novruzlu
authors.forename: Nilay
authors.initials: N
authors.lastname: Yuksel
authors.forename: Murat
authors.initials: M
authors.lastname: Koksal
mesh_terms: D003261:Contact Lenses; D015352:Dry Eye Syndromes / Q000628:therapy*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011788:Quality of Life; D012590:Sclera