Scleral contact lenses in the management of pellucid marginal degeneration
| Autor: | Virender S Sangwan, Mukesh Taneja, Srikanth Dumpati, Varsha M Rathi, Preeji S. Mandathara |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Keratoconus Visual acuity genetic structures Contact Lenses Vision Disorders Visual Acuity Pellucid marginal degeneration Sensitivity and Specificity Corneal Diseases law.invention 03 medical and health sciences 0302 clinical medicine Scleral lens law Prosthesis Fitting Ophthalmology Humans Medicine In patient Retrospective Studies business.industry Corneal Edema Reproducibility of Results Equipment Design Prostheses and Implants General Medicine Middle Aged medicine.disease eye diseases Equipment Failure Analysis Lens (optics) Contact lens Treatment Outcome 030221 ophthalmology & optometry Optometry Female sense organs medicine.symptom business Ocular surface Sclera 030217 neurology & neurosurgery |
| Zdroj: | Contact Lens and Anterior Eye. 39:217-220 |
| ISSN: | 1367-0484 |
| DOI: | 10.1016/j.clae.2015.11.005 |
| Popis: | Purpose To assess visual improvement with scleral lenses (PROSE, prosthetic replacement of the ocular surface ecosystem, Boston Foundation for Sightight, USA) in patients with Pellucid marginal degeneration (PMD). Methods This is a single-center, retrospective case-series involving patients with clinical PMD who underwent scleral lens-PROSE trial for improvement of visual acuity, from January 2009 to December 2012 at a tertiary center in India. Scleral lenses with different front surface eccentricities (FSE) were tried for improvement of visual acuity. Snellen visual acuity before and with PROSE wear was noted. Complications with PROSE wear to follow-up were noted. Results PROSE was dispensed to 12 patients (20 eyes) out of 19 patients having PMD. Location of PMD was inferior in fourteen and superior in two eyes. Four eyes had co-existing keratoconus. Nine were males and three were females. The indications for scleral lens were lens popping-out, failure of piggy-back contact lens and RGP failure. LogMAR Visual acuity improved significantly from 0.45±0.31 pre-PROSE to 0.05±0.08 post-PROSE ( p =0.0001). The FSE ordered was 0.6 in 17 eyes, 0.3 in one eye and 0.8 in two eyes. Three patients had hydrops over follow-up; two patients underwent keratoplasty and one was managed conservatively with steroids and hyperosmotic agents. Seven patients did not order PROSE: reasons were - no perceived improvement in visual acuity ( n =2), wanted to decide ( n =2), continued glasses ( n =1) and continued RGP contact lens ( n =1). One patient had difficulty with self lens insertion. Conclusion PROSE improves visual acuity in PMD; three patients developed hydrops over follow-up. |
| Databáze: | OpenAIRE |
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