Is soft toric contact lenses fitting a feasible option to improve optical quality and visual performance in corneal ectasia?
| Autor: | Marina Mari-Ribas, Abel Martin-Gonzalez, Jesus Carballo-Alvarez, Laura Batres |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
medicine.medical_specialty
Materials science genetic structures Mesopic vision media_common.quotation_subject Visual Acuity Lentes de contacto Coma (optics) Pupil Corneal Diseases 03 medical and health sciences Corneal ectasia 0302 clinical medicine Ophthalmology Ectasia Optometría medicine Humans Contrast (vision) Coma Materiales ópticos media_common Astigmatism General Medicine Contact Lenses Hydrophilic eye diseases Contact lens 030221 ophthalmology & optometry sense organs 030217 neurology & neurosurgery Dilatation Pathologic Optometry Photopic vision |
| Zdroj: | E-Prints Complutense. Archivo Institucional de la UCM instname |
| ISSN: | 1367-0484 |
| DOI: | 10.1016/j.clae.2021.03.001 |
| Popis: | Objectives: To assess the feasibility of fitting soft toric contact lenses (STCL) in corneal ectasias and their impact on optical quality and visual performance. Methods: A total of 22 eyes were fitted with a molded STCL: 11 eyes/9 subjects with corneal ectasia and 11 healthy eyes/11 subjects. Wavefront aberrations were analyzed using a Hartmann-Shack aberrometer. Visual performance was measured under photopic (85 cd/m 2) and mesopic (≤3 cd/m 2) conditions. High-(96 %) and low- (10 %) contrast VA (HCVA and LCVA respectively) were assessed using the ETDRS charts and contrast sensitivity (CS) using the Pelli-Robson chart. Results: After STCL fitting in the ectatic corneas, oblique astigmatism increased 0.15±0.17 μm and 0.34 ± 0.36 μm for 3 mm- and mesopic pupil diameters, respectively. Mean defocus decreased 1.41 ± 0.36 μm and 2.17 ± 0.85 μm for the same pupil diameters. More positive values of vertical coma were found with a change of 0.05 ± 0.06 μm and 0.12 ± 0.10 μm for 3 mm and mesopic pupil diameters, respectively. Comparing changes between both groups, with a 3 mm pupil aperture, statistically significant differences (p < 0.05) were detected in oblique astigmatism, defocus, vertical secondary trefoil and horizontal secondary coma. In the group with corneal ectasia, photopic HCVA and LCVA improved 0.09 ± 0.11 logMAR and 0.12 ± 0.15 logMAR respectively. In mesopic conditions, HCVA, LCVA and CS improved 0.11 ± 0.12 logMAR, 0.18 ± 0.15 logMAR and 0.11 ± 0.07 log. units, respectively. Conclusions: The analyzed molded soft toric contact lens is a feasible option for good vision in corneal ectasia with moderate irregularity and negative vertical coma. |
| Databáze: | OpenAIRE |
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