Medical management and visual rehabilitation of limbal niche dysfunction
| Autor: | Jacob D. Grodsky, Rutvi Doshi, Kamran M. Riaz |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Visual acuity Distance visual acuity genetic structures Contact Lenses Visual rehabilitation Vision Disorders Visual Acuity Disease Limbus Corneae Corneal Diseases Limbal stem cell deficiency 03 medical and health sciences 0302 clinical medicine Ocular history Prosthesis Fitting Ophthalmology medicine Humans Medical treatment business.industry Middle Aged eye diseases Sensory Systems Contact lens 030221 ophthalmology & optometry Female Surgery sense organs medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Cataract and Refractive Surgery. 46:312-316 |
| ISSN: | 1873-4502 0886-3350 |
| Popis: | Limbal niche dysfunction (LND) has been described as a medically reversible form of limbal stem cell deficiency. The current literature is sparse regarding therapeutic options to improve visual function after stabilization of the disease. A 61-year-old monocular woman with an extensive medical and ocular history presented with long-standing recalcitrant epitheliopathy in both eyes. History and examination findings on presentation led to a diagnosis of LND, and medical therapy was initiated. After 8 months, her ocular surface had improved and corrected distance visual acuity (CDVA) was 20/40. She was fit with a scleral contact lens because of its ability to promote ocular surface healing and improve visual acuity. She maintained symptom resolution and her CDVA improved to 20/20. LND is a distinctive and reversible epitheliopathy that responds favorably to appropriate medical therapy. To the authors' knowledge, this is the first reported case of using the scleral contact lens as an adjunctive visual rehabilitation therapy to complement medical treatment for LND. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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