| Title | Truncations of mini-sclera lenses in case of conjunctival lesions | 
| Purpose | To describe the resolution of conjunctival lesions by making 2 truncations in a mini-scleral lens. | 
| Methods | Case report | 
| Results | A 44-years old woman with keratoconus developed two vascularized conjunctival lesions in the interpalpebral zone of the right eye after wearing mini-sclera lenses . A refitting with a mini-scleral lens of a different design was performed. Two truncations in the 3 and 9 o’ clock position were made manually. The conjunctival lesion disappeared and a good comfort was obtained. | 
| Conclusion | A customized design of mini-scleral lenses can be used in special cases and might increase patient comfort. | 
| Conflict of interest | No | 
| Last name | VANSCHOENWINKEL | 
| Initials | G. | 
| Department | Contactlenzen Vanschoenwinkel | 
| City | Diepenbeek, Belgium | 
| Last name | Koppen | 
| Initials | C. | 
| Department | Department of Ophthalmology, Antwerp University Hospita | 
| City | Antwerp, Belgium | 
| Last name | Saelens | 
| Initials | IEY | 
| Department | University Eye Hospital Maastricht | 
| City | Maastricht, The Netherlands |