Megalocornea: a case report

• Published in: Ophthalmic & physiological optics Vol. 17; no. 6; p. 543
• Main Author: Ennis, Fergal A.
• Format: Journal Article
• Language: English
• Published: Oxford, UK Blackwell Publishers 01.11.1997
• ISSN: 0275-5408; 1475-1313
• DOI: 10.1046/j.1475-1313.1997.97873462.x

Megalocornea is a rare, usually bilateral, congenital condition of the cornea which results in an abnormally large corneal diameter (> = 13 mm), often in association with a deep anterior chamber, significant refractive error and abnormal corneal curvature. A literature search through Medline revealed 55 papers referring to this condition, none of which mentioned contact lens fitting. Contact lens text‐books make few references to the condition, those that do stating that scleral lens fitting is the only treatment modality. In this case report, we look at one patient, who we fitted with a high water content soft contact lens. We discuss our approach to fitting this patient, and the possibility of fitting other patients with the same condition.