08/14/2025
👁️ Custom Stable® Vision Project Case Report
Submitted by: Dr. Amanda Dieu, Casey Eye Institute
📌 Diagnosis:
Degenerative progressive high myopia, OU (H44.23)
Pentacam confirmed stable WTR astigmatism
🔍 Patient History:
Patient with high myopia and regular astigmatism OU had long-standing difficulty with multiple lens modalities:
Soft toric lenses: excessive glare and poor comfort
Hybrid lenses: lens decentration
Scleral lenses: fogging
Custom soft torics: dry eye symptoms
Despite these challenges, scleral lenses offered the best visual outcomes and comfort — and Custom Stable® Elite delivered where others couldn’t.
🧠 Final Fit Parameters – Dispensed 4/24/24
Right Eye (OD):
Lens Design: Custom Stable Elite
BC: 42.00
Rx: -5.75 -1.25 x 017
Rotation: 10° Right
OAD: 16.80
CTOZ: +0.5
CCZ: -2
Lite SLZ: -4 / -10 Extra
Material: Optimum Extra with HydraPEG
Tint: 1 dot at 6:00 (Clear)
Left Eye (OS):
Lens Design: Custom Stable Elite
BC: 42.00
Rx: -7.00 sphere
OAD: 16.80
CTOZ: +0.5
CCZ: -2
Lite SLZ: -4 / -10 Extra
Material: Optimum Extra with HydraPEG
Tint: Blue
✅ Outcome:
Patient reports consistent, stable, and comfortable vision. Ocular surface health has improved compared to previous modalities. Custom Stable provided the best combination of vision, comfort, and corneal health.
🗣️ “This is the most consistent vision I’ve had in years.”
Thank you, Dr. Dieu and the team at Casey Eye Institute, for your expert fitting and for sharing this success with the Custom Stable Vision Project!
