Lattice corneal dystrophy: Visual outcomes with scleral lens

Lattice corneal dystrophy (LCD) is a rare, bilateral, inherited disorder characterized by the deposition of amyloid fibrils in the corneal stroma, leading to progressive vision impairment. This condition results in recurrent corneal erosions, stromal haze, and corneal thinning, ultimately affecting visual acuity (VA). The management of LCD primarily aims to alleviate symptoms and delay progression, with treatment options ranging from lubricating eye drops to corneal transplantation in advanced cases. This case report illustrates scleral lenses (SL) as an effective non-surgical intervention for improving visual function in LCD patients. SL vaults over the cornea, protecting the fragile corneal epithelium. SL helps mitigate symptoms such as photophobia and recurrent erosions by maintaining corneal hydration and reducing mechanical trauma. Their ability to improve VA and delay the need for surgical intervention makes them a valuable therapeutic option in managing LCD. Further research is needed to optimize lens designs and evaluate long-term outcomes in LCD patients.