title: Patient comfort and visual outcomes of mini-scleral contact lenses.
abstract: OBJECTIVE
  To evaluate short-term visual outcome, patient acceptance, and tolerance of mini-scleral contact lenses (SCLs) in the management of various corneal pathologies.
  
  
  METHODS
  Retrospective case series.
  
  
  METHODS
  Thirty-two patients (40 eyes) who received mini-SCLs.
  
  
  METHODS
  Single-centre retrospective case series, between February 2010 and January 2013, of 32 patients (40 eyes) with various corneal pathologies who were offered either Maxim 5R, Maxim 7, or Maxim 7 × 11 mini-SCLs for nonsurgical optimization of visual correction. Patients were followed up at 1 and 3 months for assessment of best-corrected visual acuity, comfort, length of daily wear, and complications.
  
  
  RESULTS
  Thirty-two patients (40 eyes), with a mean age of 41 ± 16 years, opted to receive mini-SCLs. Eighteen patients had previously undergone surgery such as penetrating keratoplasty, deep anterior lamellar keratoplasty, and intraocular lens implantation. The median best-corrected visual acuity improved from 0.3 logMAR (range 0-1.3) before mini-SCLs, to 0.05 logMAR (range 0-1) with mini-SCLs (p < 0.0001). At 1-month follow-up, the median length of wear was 10 hours/day (range 1.5-15). At 3-month follow-up, the median length of wear was 12 hours/day (range 2-15). All eyes were comfortable at initial use of mini-SCLs and 91% were comfortable at 3-month follow-up.
  
  
  CONCLUSIONS
  Mini-SCLs may be a comfortable management option for patients with keratoconus and other corneal pathologies who are unable to achieve adequate visual outcome with traditional spectacles or rigid gas-permeable contact lenses.
authors.affiliation: Department of Ophthalmology, Ottawa Hospital Research Institute, Regenerative Medicine Program, Vision Research Centre, Ottawa Canada and University of Ottawa, Faculty of Medicine, Ottawa, Canada.
authors.forename: Peng
authors.initials: P
authors.lastname: Yan
authors.affiliation: Department of Ophthalmology, Ottawa Hospital Research Institute, Regenerative Medicine Program, Vision Research Centre, Ottawa Canada and University of Ottawa, Faculty of Medicine, Ottawa, Canada.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Kapasi
authors.affiliation: Department of Ophthalmology, Ottawa Hospital Research Institute, Regenerative Medicine Program, Vision Research Centre, Ottawa Canada and University of Ottawa, Faculty of Medicine, Ottawa, Canada.
authors.forename: Ronan
authors.initials: R
authors.lastname: Conlon
authors.affiliation: Department of Ophthalmology, Ottawa Hospital Research Institute, Regenerative Medicine Program, Vision Research Centre, Ottawa Canada and University of Ottawa, Faculty of Medicine, Ottawa, Canada.
authors.forename: Joshua C
authors.initials: JC
authors.lastname: Teichman
authors.affiliation: Department of Ophthalmology, Ottawa Hospital Research Institute, Regenerative Medicine Program, Vision Research Centre, Ottawa Canada and University of Ottawa, Faculty of Medicine, Ottawa, Canada.
authors.forename: Season
authors.initials: S
authors.lastname: Yeung
authors.affiliation: Department of Ophthalmology, Ottawa Hospital Research Institute, Regenerative Medicine Program, Vision Research Centre, Ottawa Canada and University of Ottawa, Faculty of Medicine, Ottawa, Canada.
authors.forename: Yelin
authors.initials: Y
authors.lastname: Yang
authors.affiliation: Department of Ophthalmology, Ottawa Hospital Research Institute, Regenerative Medicine Program, Vision Research Centre, Ottawa Canada and University of Ottawa, Faculty of Medicine, Ottawa, Canada.
authors.forename: Setareh
authors.initials: S
authors.lastname: Ziai
authors.affiliation: Department of Ophthalmology, Ottawa Hospital Research Institute, Regenerative Medicine Program, Vision Research Centre, Ottawa Canada and University of Ottawa, Faculty of Medicine, Ottawa, Canada. Electronic address: baig247@gmail.com.
authors.forename: Kashif
authors.initials: K
authors.lastname: Baig
mesh_terms: D000328:Adult; D003261:Contact Lenses; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007640:Keratoconus / Q000503:physiopathology / Q000628:therapy*; D015948:Keratoplasty, Penetrating; D008297:Male; D008904:Miniaturization; D000070659:Patient Comfort; D012189:Retrospective Studies; D012590:Sclera; D014792:Visual Acuity / Q000502:physiology*