Contact lenses fitting after intracorneal ring segments implantation in keratoconus

Arquivos Brasileiros de Oftalmologia

Luciane Bugmann Moreira²  Ricardo Augustho Canto Bardal¹  Leila Roberta Crisigiovanni¹ 

[1] ,Faculdade Evangélica de Medicina do ParanáCuritiba PR ,Brasil

关键词: Contact lenses;    Corneal stroma;    Prostheses and implants;    Keratoconus Visual acuity;    Adaptation;    ocular;    Lentes de contato;    Substância própria;    Próteses e implantes;    Ceratocone;    Acuidade visual;    Adaptação ocular;   

DOI  :  10.1590/S0004-27492013000400004

来源: SciELO

【 摘 要 】

PURPOSE: Evaluate contact lenses fitting after intracorneal ring implantation for keratoconus, its visual acuity and comfort. METHODS: Retrospective study of patients undergoing contact lenses fitting, after intracorneal ring for keratoconus. The criterion for contact lens fitting was unsatisfactory visual acuity with spectacle correction as referred by the patients. All patients were intolerants to contact lenses prior to intracorneal implantation. Visual acuity analysis was done by conversion of Snellen to logMAR scales. The comfort was evaluated according subjective questioning of good, medium or poor comfort. RESULTS: Nineteen patients were included in the study. Two patients (10.5%) did not achieved good comfort with contact lenses and underwent penetrating keratoplasties. All the others 17 patients showed good or medium comfort. Four rigid gas-permeable contact lenses were fitted, one piggyback approach, 3 toric soft contact lenses, 2 soft lenses specially design for keratoconus and 7 disposable soft lenses. The average visual acuity improved from 0.77 ± 0.37 to 0.19 ± 0.13 logMAR units after contact lenses fitting. CONCLUSION: Contact lens fitting after intracorneal ring is possible, provides good comfort, improves visual acuity, and therefore, may postpone the need for penetrating keratoplasty.

【 授权许可】

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