Case Report: David P. Piñero

ICDtoric Lens Fit

David P. Piñero

David P. Piñero is a researcher and lecturer at the Department of Optics, Pharmacology and Anatomy of the University of Alicante (Spain). In addition, he is working as a practitioner for the Department of Ophthalmology at the Vithas Medimar International Hospital (Alicante, Spain).


The subject is a 35-year-old woman diagnosed with keratoconus since she was 18 years old. She had previously worn corneal rigid gas-permeable (RGP) contact lenses for the last 2 years. However she experienced discomfort and intolerance. Keratoconus is a noninflammatory, elastic corneal disorder caused by progressive thinning and distortion of the central cornea. The condition is bilateral but frequently asymmetric. Scleral lenses are widely fitted for keratoconus patients. This is due to the possibility of scleral lenses to vault over the cornea. Therefore, they can be experienced as more comfortable than rigid lenses.