Corneo-scleral contact lenses in an uncommon case of keratoconus with high hyperopia and astigmatism
Por:
Porcar E, Montalt JC, España-Gregori E and Peris-Martínez C
Publicada:
1 oct 2017
Ahead of Print:
13 jul 2017
Resumen:
Purpose: To analyse the visual quality achieved by fitting corneo-scleral contact lenses (CScL) in an uncommon case of bilateral keratoconus, high hyperopia and astigmatism.
Methods: A 45-year-old man presented for eye examination due to the unsatisfactory quality of his vision wearing soft toric contact lenses. He presented high hyperopia and astigmatism with bilateral keratoconus. He was fitted with CScL to correct his irregular astigmatism and ocular aberrations. A diagnostic trial set was used in the fitting process and he was assessed according to standardised fitting methodology. Visual acuity, corneal topography, biometry and ocular aberrations were evaluated. The follow-up period was 1 year.
Results: The best spectacle-corrected visual acuity was 20/32 with + 8.00/-4.50x 30 degrees for the right eye (RE) and 20/25 with + 7.75/-2.25 x 120 degrees for the left eye (LE). After CScL fitting, visual acuity was improved to 20/20 and 20/16 for the RE and LE, respectively. The patient wore these contact lenses an average of 13 h a day. The total high order aberrations decreased by approximately 79% in the RE (2.37-0.50 mu m) and 47% in the LE (1.04-0.55 mu m) after CScL fitting. Visual quality and wearing time were maintained after 1 year wearing CScL. In addition, no adverse ocular effects were found during this period.
Conclusion: The present case report describes how the patient had CScL fitted successfully for management of keratoconus with high hyperopia and astigmatism. They provided optimal visual quality, along with prolonged use times and no adverse effects to the cornea.
Filiaciones:
Porcar E:
Department of Optics, Optometry and Vision Sciences, Physics College, University of Valencia, Burjassot, Valencia 46100, Spain.
Montalt JC:
Department of Optics, Optometry and Vision Sciences, Physics College, University of Valencia, Burjassot, Valencia 46100, Spain
España-Gregori E:
Department of Surgery, Ophthalmology Unit, la Fe University and Polytechnic Hospital, Faculty of Medicine and Odontology, University of Valencia, Hospital la Fe, Valencia 46026, Spain
:
FISABIO Oftalmología Médica (FOM), Cornea Unit and Anterior Segment Diseases, Catholic University of Valencia, Valencia 46015, Spain
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