Case Report Components:
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 the reason for choosing scleral lenses and whether any alternative lens designs or modalities that were considered. Detail the method of choosing the lens design and the initial diagnostic lens. It is expected that the candidate can demonstrate their understanding of the particular design and how changes in parameters affect the fit of the lens. The fit of each diagnostic lens should be assessed, including the central corneal clearance, limbal clearance, and peripheral alignment. It should be described how the lens was evaluated and if any instrumentation was used. Explain how the parameters of the initial ordered lens were determined and what modifications were made. Please include the choice of lens material and why this material was chosen.
Each follow-up visit should include the reason for the encounter. All follow-up visits should include visual acuities and an evaluation of the lens fit. Average wearing time and settling time at each visit should be recorded. 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 Provide a thorough discussion of the ocular condition and the treatment options. Please detail how scleral lenses contributed in the treatment and management of this patient. Discuss any advanced design options that were utilized and how complications were addressed. If the case could have been managed differently, please elaborate.
Conclusion Include a conclusion in the case report.
References Please use AMA citation format. References should be current and relevant to the case.
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.