Therapeutic protective bandage contact lenses for blepharophimosis-ptosis-epicanthus-inversus syndrome

Purpose:

The case report describes the fitting of bandage contact lenses for bilateral severe visual impairment, severe ocular pain and glare sensitivity and the rehabilitative effect on the life of the affected patient.

Material and Methods:

Structured fitting of silicone hydrogel bandage contact lenses and visual rehabilitation in a 49-year-old female patient with bilateral blepharophimosis-ptosis-epicanthus-inversus syndrome (BPES) and neutrophilic ulceration bilaterally, as a result of lagophthalmos in marked incomplete blink OD and nearly inactive eyelids OS and bilateral ptosis.

Results:

By means of structured and targeted fitting of physiologically acceptable bandage contact lenses in continuous wear modality, almost all limiting visual and pathophysiological symptoms of the patient such as glare sensitivity and pain could be eliminated. The corrected visual acuity could be increased from light perception to 1.0−2. The patient again participates regularly in normal work and leisure life and is fully reintegrated into society.

Conclusion: 

Bandage contact lenses are used in daily clinical practice. A goal oriented fitting procedure often allows a complete visual and social rehabilitation even in severe cases. The field of application is multifarious, and the patients concerned are very grateful for the rapid and uncomplicated help.