RT Journal Article SR Electronic T1 Scleral contact lenses for optimal visual recovery in a case of severe acid burn with total lagophthalmos JF BMJ Case Reports JO BMJ Case Reports FD BMJ Publishing Group Ltd SP e248384 DO 10.1136/bcr-2021-248384 VO 15 IS 7 A1 Simmy Chaudhary A1 Subhajit Chatterjee A1 Neha Jain A1 Sayan Basu YR 2022 UL http://casereports.bmj.com/content/15/7/e248384.abstract AB Chemical injuries can severely damage the ocular surface. We present the case of a man in his 40s with severe periocular chemical injury with total lid loss and severe exposure keratopathy. He sustained burns to 45% of his body surface area and needed tracheostomy and multiple full-thickness skin grafts. Both eyes required surgery, Boston type 1 keratoprosthesis and penetrating keratoplasty for the right and left eye, respectively. There was melting in the right eye and a persistent epithelial defect in the left eye. Eventually, we suggested 18 mm diameter scleral contact lenses for both eyes to aid in ocular surface stabilisation. His best corrected visual acuity improved significantly with the scleral lenses to 20/100 and 20/320 in the right and left eyes, respectively. This case demonstrates that scleral lenses can treat the complications of exposure keratopathy and can improve vision. Therefore, they may be considered for rehabilitation of the ocular surface in eyes with severe chemical periocular injuries.