Title of article :
Visual management of aphakia with concomitant severe corneal irregularity by mini-scleral design contact lenses
Author/Authors :
Alipur, Fateme Eye Research Center - Farabi Eye Hospital - Tehran University of Medical Sciences , Hosseini, Seyedeh Simindokht Eye Research Center - Farabi Eye Hospital - Tehran University of Medical Sciences
Abstract :
Purpose: To evaluate visual results, comfort of use, safety, and efficacy of mini scleral contact lenses in optical management in patients with
traumatic aphakia and severe concomitant irido-corneal injury.
Methods: In a case series, eight eyes with post traumatic aphakia and severe concomitant irido-corneal injury that were evaluated at the Contact
Lens Clinic of Farabi Eye Hospital, Tehran, Iran for contact lens fitting and could not be corrected with conventional corneal RGP contact lenses
were fitted with miniscleral contact lenses. Uncorrected visual acuity (UCVA), best spectacle corrected visual acuity (BSCVA), and BCVA (Best
corrected visual acuity) with miniscleral lens were recorded. Slit lamp examination, comfortable daily wearing time, and any contact lens-related
complication were documented in each follow-up visit.
Results: The mean UCVA and BSCVA of the cases was >2.7 and 0.41 LogMAR, respectively (BSCVA could not be assessed in one case due to
severe corneal irregularity). The mean final BCVA with the miniscleral lens was 0.05 LogMAR (range from 0.4 to 0.04 LogMAR). The mean
follow-up period was 14.6 months. The mean comfortable daily wearing time (CDWT) was 11.6 h, ranging from 8 to 16 h. The only contact
lens-related complication was mild redness and irritation that was observed in 2 patients during the follow-up visits. All patients were
comfortable with handling these lenses.
Conclusion: Miniscleral contact lenses can be considered a safe and effective option in aphakia patients with concurrent corneal scarring
secondary to ocular injury for whom surgical intervention would be complicated
Keywords :
Mini-scleral contact lens , Aphakia , Irregular cornea
Journal title :
Journal of Current Ophthalmology
Journal title :
Journal of Current Ophthalmology