Endothelial dysfunction after scleral lens use in patients with herpetic eye disease
| Autor: | Clara C. Chan, Nir Sorkin, Vishakha Thakrar, Jaime C. Sklar |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Visual acuity genetic structures Contact Lenses Eye disease medicine.medical_treatment Keratitis 03 medical and health sciences 0302 clinical medicine Scleral lens Ophthalmology medicine Humans Endothelial dysfunction Corneal transplantation business.industry General Medicine medicine.disease eye diseases Contact lens Herpes Zoster Ophthalmicus Keratitis Herpetic 030221 ophthalmology & optometry sense organs medicine.symptom business Sclera |
| Zdroj: | Canadian Journal of Ophthalmology. 55:527-528 |
| ISSN: | 0008-4182 |
| DOI: | 10.1016/j.jcjo.2020.07.010 |
| Popis: | Objective To assess the impact of scleral contact lens use on corneal endothelial cell function in eyes previously infected with the herpes viridae family of viruses. Design Retrospective review of four patient charts. Participants Four patient charts for a total of 6 eyes were included in this study. 50% of participants were female, with a mean age of 65. Methods Each patient chart was reviewed for ocular history related to their infection including secondary sequalae, visual acuity, type of lens prescribed, duration of use prior to endothelial dysfunction, as well as medications and treatments provided for resolution. Results Of the four patients in this study, two required corneal transplantation for definitive treatment. All patients were treated with systemic anti-viral and topical steroidal medications. Conclusions Scleral contact lens use in patients with quiescent herpes simplex keratitis or herpes zoster ophthalmicus may result in fulminant endothelial dysfunction. This is an important phenomenon that eye care providers should be aware of when prescribing these lenses. |
| Databáze: | OpenAIRE |
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