Reverse Geometry Hybrid Contact Lens Fitting in a Case of Donor-Host Misalignment after Keratoplasty


Autoria(s): Pérez Cambrodí, Rafael J.; Ruiz Fortes, Pedro; Piñero, David P.
Contribuinte(s)

Universidad de Alicante. Departamento de Óptica, Farmacología y Anatomía

Grupo de Óptica y Percepción Visual (GOPV)

Data(s)

15/07/2014

15/07/2014

2013

Resumo

Purpose: To report the successful outcome obtained after fitting a new hybrid contact lens in a cornea with an area of donor-host misalignment and significant levels of irregular astigmatism after penetrating keratoplasty (PKP). Materials and methods: A 41-year-old female with bilateral asymmetric keratoconus underwent PKP in her left eye due to the advanced status of the disease. One year after surgery, the patient referred a poor visual acuity and quality in this eye. The fitting of different types of rigid gas permeable contact lenses was performed, but with an unsuccessful outcome due to contact lens stability problems and uncomfortable wear. Scheimpflug imaging evaluation revealed that a donor-host misalignment was present at the nasal area. Contact lens fitting with a reverse geometry hybrid contact lens (Clearkone, SynergEyes Carlsbad) was then fitted. Visual, refractive, and ocular aberrometric outcomes were evaluated during a 1-year period after the fitting. Results: Uncorrected distance visual acuity improved from a prefitting value of 20/200 to a best corrected postfitting value of 20/20. Prefitting manifest refraction was +5.00 sphere and -5.50 cylinder at 75°, with a corrected distance visual acuity of 20/30. Higher order root mean square (RMS) for a 5 mm pupil changed from a prefitting value of 6.83 µm to a postfitting value of 1.57 µm (5 mm pupil). The contact lens wearing was referred as comfortable, with no anterior segment alterations. Conclusion: The SynergEyes Clearkone contact lens seems to be another potentially useful option for the visual rehabilitation after PKP, especially in cases of donor-host misalignment.

Identificador

International Journal of Keratoconus and Ectatic Corneal Diseases. 2013, 2(2): 69-72. doi:10.5005/jp-journals-10025-1054

2277-3800 (Print)

2277-4203 (Online)

http://hdl.handle.net/10045/39217

10.5005/jp-journals-10025-1054

Idioma(s)

eng

Publicador

Jaypee Brothers Medical Publishers

Relação

http://dx.doi.org/10.5005/jp-journals-10025-1054

Direitos

info:eu-repo/semantics/openAccess

Palavras-Chave #Hybrid contact lens #Keratoplasty #Keratoconus #Clearkone #Reverse geometry contact lens #Scheimpflug photography #Óptica
Tipo

info:eu-repo/semantics/article