Contact Lens, Hyperopia and Endothelial Changes

Autor:	Walter Konen, Peter Szurman, Sigrid Roters, Günter K. Krieglstein, Dietrich von Domarus, Maria Severin
Rok vydání:	2004
Předmět:	medicine.medical_specialty Effects of long-term contact lens wear on the cornea genetic structures Bilateral keratopathy business.industry Dystrophy Corneal dystrophy medicine.disease eye diseases Surgery Contact lens Ophthalmology Corneal edema medicine sense organs business Clearance
Zdroj:	International Ophthalmology. 25:13-17
ISSN:	0165-5701
DOI:	10.1023/b:inte.0000018521.88103.17
Popis:	Introduction: We report on a 62-year-old healthy woman who suffered from bilateral predescemetic opacities, where the underlying disorder could not be identified. She had bilateral keratopathy with corneal edema, a diffuse predescemetic avascular haze and deszemetic folds. Because of high hyperopia (right +7.50/left +7.75) she weared soft contact lenses for years. Methods: Removal of contact lenses. Treatment with local steroids and tear substitutes.Results: One year after cessation of contact lenses VA recovered from RE 0.3/LE 0.1 to 0.8/0.63, the deep stromal opacity cleared up, the corneal edema recessed slightly. Discussion: The differential diagnosis concludes either a pure contact lens change that is not completely reversible or a possible posterior polymorphous dystrophy that worsens with long-term contact lens wear and improves on cessation.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::59efea5d4bbe80ed1f351bd8fade5b5c https://doi.org/10.1023/b:inte.0000018521.88103.17 Zobrazit plný text záznamu Full text from SpringerLink