Cover Page Include the candidate’s name, address, telephone number, e-mail address, case report title and number and an abstract of the case report. Include key words used.
Introduction Summarize the patient’s ocular condition(s). Include differential diagnoses if relevant to the case. Briefly introduce why scleral lenses are indicated.
Case Report Thoroughly document the initial visit and subsequent follow-up visits. Each encounter should document the reason for the visit and include the date of each encounter. Clinical decision making should be explained clearly and sufficiently.
The patient’s initial visit should include the patient’s chief complaint, age/ethnicity, sex and date of examination as well as thorough documentation of history (present illness, medical, ocular, family and social) and a review of systems. Prior history of contact lens wear should be discussed. Document all findings and record all medications, including concentration and quantity instilled in the patient’s eyes as part of the examination. Visual acuity should reflect the level of disease. Both anterior and posterior segment examination should be included. If a referring doctor performed any exam components, please include those findings. If available, additional testing such as corneal topography, anterior segment imaging, endothelial cell counts etc. should be included.
The initial contact lens evaluation and fitting should provide thorough detail of the fitting process. Include clinical decision making for choosing scleral lenses and how the initial diagnostic lenses were chosen. Discuss any alternative lens designs or modalities that were considered. Contact lens parameters and a detailed fit assessment of all diagnostic lenses used should be included. Explain any modifications made to the initial ordered lens.
Follow-up visits should include the reason for the encounter. All follow-up visits should include visual acuities and an evaluation of the lens fit. Document ocular health when applicable. If modifications to the lenses are required, provide clinical reasoning and the new parameters. An appropriate lens care regimen should be prescribed at the dispense appointment. Include both the immediate and long-term follow-up care plan.
Discussion Section Define the final diagnosis and describe the epidemiology and pathophysiology where appropriate. The eye disease(s) and treatment options should be thoroughly discussed. The benefit for contact lens use should be mentioned. The patient’s chief complaint and problem should be solved. Treatment should be explained with references supporting the discussion.
Conclusion Include a conclusion in the case report.
References Please use AMA citation format. Whenever possible, references should be current from the last 5-7 years.
Photos Include photographs of the contact lens fit if possible.
Case reports accepted by the Scleral Lens Education Society for fellowship may be used on the website for educational purposes.