Corneoscleral contact lenses fitting on irregular corneas after laser-assisted in situ keratomileusis

Purpose: We aimed to describe the outcomes of corneoscleral contact lens fitting with multi-aspherical geometry designs in patients with irregular corneas after laser-assisted in situ keratomileusis (LASIK). Methods: This was a retrospective series of 18 patients (age, 26-38 years) selected from an...

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Autores: Montalt JC, Porcar E, España-Gregori E, Peris-Martínez C
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2018
País:España
Institución:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p2693
Acceso en línea:https://fisabio.portalinvestigacion.com/publicaciones/2693
Access Level:acceso abierto
Palabra clave:Contact lenses
Corneal surgery, laser
Corneal pachymetry
Corneal endothelial cell loss
Intraocular pressure
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spelling Corneoscleral contact lenses fitting on irregular corneas after laser-assisted in situ keratomileusisMontalt JCPorcar EEspaña-Gregori EPeris-Martínez CContact lensesCorneal surgery, laserCorneal pachymetryCorneal endothelial cell lossIntraocular pressurePurpose: We aimed to describe the outcomes of corneoscleral contact lens fitting with multi-aspherical geometry designs in patients with irregular corneas after laser-assisted in situ keratomileusis (LASIK). Methods: This was a retrospective series of 18 patients (age, 26-38 years) selected from an eye clinic database. Participants were required to have unsatisfactory visual acuity with their current contact lenses or spectacles after LASIK for myopia correction. All patients were fitted with corneoscleral contact lenses designed to correct corneal surface irregularities. A diagnostic trial set was used for fitting, and assessments were performed according to a standardized methodology. Subjective comfort, visual acuity, central corneal thickness, endothelial cell count, and corneal-compensated intraocular pressure were evaluated. The follow-up period was one year. Results: Contact lens use was discontinued in 3 patients, thus leaving 24 eyes from 8 females and 7 males for analysis. The fitting characteristics were optimal in terms of lens position and movement. Statistically significant improvements were found in the best spectacle-corrected vision from before fitting to the visual acuity after fitting (p<0.001). Moreover, the patients reported high subjective comfort ratings and usage times (12.98 +/- 2.3 hours/day). After one year of wear, visual acuity, subjective comfort, and usage time were maintained. No statistically significant adverse changes developed in the corneas over this period. Conclusion: Corneoscleral contact lenses with a multi-aspherical geometry design provide optimal visual acuity, improved comfort, and prolonged usage times in patients with irregular corneas after LASIK.CONSEL BRASIL OFTALMOLOGIA2018info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fisabio.portalinvestigacion.com/publicaciones/2693ARQUIVOS BRASILEIROS DE OFTALMOLOGIAISSN: 00042749ISSNe: 16782925reponame:r-FISABIO. Repositorio Institucional de Producción Científicainstname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)Inglésinfo:eu-repo/semantics/openAccessoai:fisabio.fundanetsuite.com:p26932026-06-11T12:45:17Z
dc.title.none.fl_str_mv Corneoscleral contact lenses fitting on irregular corneas after laser-assisted in situ keratomileusis
title Corneoscleral contact lenses fitting on irregular corneas after laser-assisted in situ keratomileusis
spellingShingle Corneoscleral contact lenses fitting on irregular corneas after laser-assisted in situ keratomileusis
Montalt JC
Contact lenses
Corneal surgery, laser
Corneal pachymetry
Corneal endothelial cell loss
Intraocular pressure
title_short Corneoscleral contact lenses fitting on irregular corneas after laser-assisted in situ keratomileusis
title_full Corneoscleral contact lenses fitting on irregular corneas after laser-assisted in situ keratomileusis
title_fullStr Corneoscleral contact lenses fitting on irregular corneas after laser-assisted in situ keratomileusis
title_full_unstemmed Corneoscleral contact lenses fitting on irregular corneas after laser-assisted in situ keratomileusis
title_sort Corneoscleral contact lenses fitting on irregular corneas after laser-assisted in situ keratomileusis
dc.creator.none.fl_str_mv Montalt JC
Porcar E
España-Gregori E
Peris-Martínez C
author Montalt JC
author_facet Montalt JC
Porcar E
España-Gregori E
Peris-Martínez C
author_role author
author2 Porcar E
España-Gregori E
Peris-Martínez C
author2_role author
author
author
dc.subject.none.fl_str_mv Contact lenses
Corneal surgery, laser
Corneal pachymetry
Corneal endothelial cell loss
Intraocular pressure
topic Contact lenses
Corneal surgery, laser
Corneal pachymetry
Corneal endothelial cell loss
Intraocular pressure
description Purpose: We aimed to describe the outcomes of corneoscleral contact lens fitting with multi-aspherical geometry designs in patients with irregular corneas after laser-assisted in situ keratomileusis (LASIK). Methods: This was a retrospective series of 18 patients (age, 26-38 years) selected from an eye clinic database. Participants were required to have unsatisfactory visual acuity with their current contact lenses or spectacles after LASIK for myopia correction. All patients were fitted with corneoscleral contact lenses designed to correct corneal surface irregularities. A diagnostic trial set was used for fitting, and assessments were performed according to a standardized methodology. Subjective comfort, visual acuity, central corneal thickness, endothelial cell count, and corneal-compensated intraocular pressure were evaluated. The follow-up period was one year. Results: Contact lens use was discontinued in 3 patients, thus leaving 24 eyes from 8 females and 7 males for analysis. The fitting characteristics were optimal in terms of lens position and movement. Statistically significant improvements were found in the best spectacle-corrected vision from before fitting to the visual acuity after fitting (p<0.001). Moreover, the patients reported high subjective comfort ratings and usage times (12.98 +/- 2.3 hours/day). After one year of wear, visual acuity, subjective comfort, and usage time were maintained. No statistically significant adverse changes developed in the corneas over this period. Conclusion: Corneoscleral contact lenses with a multi-aspherical geometry design provide optimal visual acuity, improved comfort, and prolonged usage times in patients with irregular corneas after LASIK.
publishDate 2018
dc.date.none.fl_str_mv 2018
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://fisabio.portalinvestigacion.com/publicaciones/2693
url https://fisabio.portalinvestigacion.com/publicaciones/2693
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv CONSEL BRASIL OFTALMOLOGIA
publisher.none.fl_str_mv CONSEL BRASIL OFTALMOLOGIA
dc.source.none.fl_str_mv ARQUIVOS BRASILEIROS DE OFTALMOLOGIA
ISSN: 00042749
ISSNe: 16782925
reponame:r-FISABIO. Repositorio Institucional de Producción Científica
instname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
instname_str Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
reponame_str r-FISABIO. Repositorio Institucional de Producción Científica
collection r-FISABIO. Repositorio Institucional de Producción Científica
repository.name.fl_str_mv
repository.mail.fl_str_mv
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