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

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.

Activated Carbons Impregnated with Na2S and H2SO4: Texture, Surface Chemistry and Application to Mercury Removal from Aqueous Solutions

The effects of treatment of an activated carbon with Sulphur precursors on its textural properties and on the ability of the complex synthesized for mercury removal in aqueous solutions are studied. To this end, a commercial activated carbon has been modified by treatments with aqueous solutions of Na2S and H2SO4 at two temperatures (25 and 140 °C) to introduce sulphur species on its surface. The prepared adsorbents have been characterized by N2 (-196 °C) and CO2 (0 °C) adsorption, thermogravimetric analysis, temperature-programmed decomposition and X-ray photoelectron spectroscopy, and their adsorption capacities to remove Hg(II) ions in aqueous solutions have been determined. It has been shown that the impregnation treatments slightly modified the textural properties of the samples, with a small increase in the textural parameters (BET surface area and mesopore volumes). By contrast, surface oxygen content was increased when impregnation was carried out with Na2S, but it decreased when H2SO4 was used. However, the main effect of the impregnation treatments was the formation of surface sulphur complexes of thiol type, which was only achieved when the impregnation treatments were carried out at low temperature (25 °C). The presence of surface sulphur enhances the adsorption behaviour of these samples in the removal of Hg(II) cations in aqueous solutions at pH 2. In fact, complete Hg(II) removal is only obtained with the sulphur-containing activated carbons.

Desiccant capability of organic xerogels: Surface chemistry vs porous texture

Resorcinol-Formaldehyde xerogels are organic polymers that can be easily tailored to have specific properties. These materials are composed of carbon, hydrogen and oxygen, and have a surface that is very rich in oxygen functionalities, and is therefore very hydrophilic. Their most interesting feature is that they may have the same chemical composition but a different porous texture. Consequently, the influence of porous characteristics, such as pore volume, surface area or pore size can be easily assessed. In this work, a commonly used desiccant, silica gel, is compared with organic xerogels to determine their rate and capacity of water adsorption, and to evaluate the role of surface chemistry versus porous texture. It was found that organic xerogels showed a higher rate of moisture adsorption than silica gel. Pore structure also seems to play an important role in water adsorption capacity. The OX-10 sample, whose porosity was mainly composed of micro-mesoporosity displayed a water adsorption capacity two times greater than that of the silica gel, and three times higher than that of the totally macroporous xerogel OX-2100. The presence of feeder pores (mesopores) that facilitate the access to the hydrophilic surface was observed to be the key factor for a good desiccant behaviour. Neither the total pore volume nor the high surface area (i.e. high microporosity) of the desiccant sample, is as important as the mesopore structure.