Post-Penetrating Keratoplasty Assessment of Endothelial Function With a Scleral Lens Challenge.
| Autor: | Bernhisel AA; Department of Ophthalmology, Mayo Clinic, Rochester, MN., Nau CB, Schornack MM |
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| Jazyk: | angličtina |
| Zdroj: | Eye & contact lens [Eye Contact Lens] 2024 Aug 01; Vol. 50 (8), pp. 368-370. Date of Electronic Publication: 2024 May 16. |
| DOI: | 10.1097/ICL.0000000000001102 |
| Abstrakt: | Abstract: Patients who have undergone penetrating keratoplasty may have corneal edema because of endothelial cell dysfunction. Scleral lens wear may exacerbate edema, particularly if lens fit is suboptimal. Distinguishing between edema because of inherent endothelial cell dysfunction and swelling because of scleral lens-related hypoxia can be challenging. It is necessary, however, to identify the most likely cause of increased corneal thickness to determine whether the patient simply needs refitting for a different lens design or needs additional surgical intervention. This case report describes the utility of corneal tomographic imaging before and after scleral lens wear both to estimate endothelial cell function and to direct decisions when designing a scleral lens for a post-transplant eye. Competing Interests: The authors have no funding or conflicts of interest to disclose. (Copyright © 2024 Contact Lens Association of Ophthalmologists.) |
| Databáze: | MEDLINE |
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