Corneoscleral contact lenses fitting on irregular corneas after laser-assisted in situ keratomileusis

Purpose: We aimed to describe the outcomes of corneoscleral contact lens fitting with multi-aspherical geometry designs in patients with irregular corneas after laser-assisted in situ keratomileusis (LASIK). Methods: This was a retrospective series of 18 patients (age, 26-38 years) selected from an...

Descripción completa

Detalles Bibliográficos
Autores: Montalt, Juan Carlos, Porcar, Esteban, España Gregori, Enrique, Peris Martínez, Cristina Paloma
Tipo de recurso: artículo
Fecha de publicación:2018
País:España
Institución:Universidad Católica de Valencia San Vicente Mártir
Repositorio:RIUCV. Repositorio de la Universidad Católica de Valencia San Vicente Mártir
Idioma:inglés
OAI Identifier:oai:riucv.ucv.es:20.500.12466/4111
Acceso en línea:http://hdl.handle.net/20.500.12466/4111
Access Level:acceso abierto
Palabra clave:Contact lenses
Corneal surgery
Laser
Corneal pachymetry
Corneal endothelial cell loss
Intraocular pressure
Lentes de contato
Cirurgia da córnea a laser
Paquimetria corneana
Perda de células endoteliais da córnea
Pressão intraocular
3201.09 Oftalmología
id ES_cecfba5af97bb59e3f4a5b27e547e4af
oai_identifier_str oai:riucv.ucv.es:20.500.12466/4111
network_acronym_str ES
network_name_str España
repository_id_str
spelling Corneoscleral contact lenses fitting on irregular corneas after laser-assisted in situ keratomileusisLentes de contato corneoesclerais adaptadas em córneas irregulares após cirurgia LASIKMontalt, Juan CarlosPorcar, EstebanEspaña Gregori, EnriquePeris Martínez, Cristina PalomaContact lensesCorneal surgeryLaserCorneal pachymetryCorneal endothelial cell lossIntraocular pressureLentes de contatoCirurgia da córnea a laserPaquimetria corneanaPerda de células endoteliais da córneaPressão intraocular3201.09 OftalmologíaPurpose: We aimed to describe the outcomes of corneoscleral contact lens fitting with multi-aspherical geometry designs in patients with irregular corneas after laser-assisted in situ keratomileusis (LASIK). Methods: This was a retrospective series of 18 patients (age, 26-38 years) selected from an eye clinic database. Participants were required to have unsatisfactory visual acuity with their current contact lenses or spectacles after LASIK for myopia correction. All patients were fitted with corneoscleral contact lenses designed to correct corneal surface irregularities. A diagnostic trial set was used for fitting, and assessments were performed according to a standardized methodology. Subjective comfort, visual acuity, central corneal thickness, endothelial cell count, and corneal-compensated intraocular pressure were evaluated. The follow-up period was one year. Results: Contact lens use was discontinued in 3 patients, thus leaving 24 eyes from 8 females and 7 males for analysis. The fitting characteristics were optimal in terms of lens position and movement. Statistically significant improvements were found in the best spectacle-corrected vision from before fitting to the visual acuity after fitting (p<0.001). Moreover, the patients reported high subjective comfort ratings and usage times (12.98 ± 2.3 hours/day). After one year of wear, visual acuity, subjective comfort, and usage time were maintained. No statistically significant adverse changes developed in the corneas over this period. Conclusion: Corneoscleral contact lenses with a multi-aspherical geometry design provide optimal visual acuity, improved comfort, and prolonged usage times in patients with irregular corneas after LASIK.20242024-03-2520182018-01-0120182018-01-01journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/20.500.12466/4111reponame:RIUCV. Repositorio de la Universidad Católica de Valencia San Vicente Mártirinstname:Universidad Católica de Valencia San Vicente MártirInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Atribución 4.0 Internacionalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:riucv.ucv.es:20.500.12466/41112026-06-19T08:32:07Z
dc.title.none.fl_str_mv Corneoscleral contact lenses fitting on irregular corneas after laser-assisted in situ keratomileusis
Lentes de contato corneoesclerais adaptadas em córneas irregulares após cirurgia LASIK
title Corneoscleral contact lenses fitting on irregular corneas after laser-assisted in situ keratomileusis
spellingShingle Corneoscleral contact lenses fitting on irregular corneas after laser-assisted in situ keratomileusis
Montalt, Juan Carlos
Contact lenses
Corneal surgery
Laser
Corneal pachymetry
Corneal endothelial cell loss
Intraocular pressure
Lentes de contato
Cirurgia da córnea a laser
Paquimetria corneana
Perda de células endoteliais da córnea
Pressão intraocular
3201.09 Oftalmología
title_short Corneoscleral contact lenses fitting on irregular corneas after laser-assisted in situ keratomileusis
title_full Corneoscleral contact lenses fitting on irregular corneas after laser-assisted in situ keratomileusis
title_fullStr Corneoscleral contact lenses fitting on irregular corneas after laser-assisted in situ keratomileusis
title_full_unstemmed Corneoscleral contact lenses fitting on irregular corneas after laser-assisted in situ keratomileusis
title_sort Corneoscleral contact lenses fitting on irregular corneas after laser-assisted in situ keratomileusis
dc.creator.none.fl_str_mv Montalt, Juan Carlos
Porcar, Esteban
España Gregori, Enrique
Peris Martínez, Cristina Paloma
author Montalt, Juan Carlos
author_facet Montalt, Juan Carlos
Porcar, Esteban
España Gregori, Enrique
Peris Martínez, Cristina Paloma
author_role author
author2 Porcar, Esteban
España Gregori, Enrique
Peris Martínez, Cristina Paloma
author2_role author
author
author
dc.contributor.none.fl_str_mv
dc.subject.none.fl_str_mv Contact lenses
Corneal surgery
Laser
Corneal pachymetry
Corneal endothelial cell loss
Intraocular pressure
Lentes de contato
Cirurgia da córnea a laser
Paquimetria corneana
Perda de células endoteliais da córnea
Pressão intraocular
3201.09 Oftalmología
topic Contact lenses
Corneal surgery
Laser
Corneal pachymetry
Corneal endothelial cell loss
Intraocular pressure
Lentes de contato
Cirurgia da córnea a laser
Paquimetria corneana
Perda de células endoteliais da córnea
Pressão intraocular
3201.09 Oftalmología
description Purpose: We aimed to describe the outcomes of corneoscleral contact lens fitting with multi-aspherical geometry designs in patients with irregular corneas after laser-assisted in situ keratomileusis (LASIK). Methods: This was a retrospective series of 18 patients (age, 26-38 years) selected from an eye clinic database. Participants were required to have unsatisfactory visual acuity with their current contact lenses or spectacles after LASIK for myopia correction. All patients were fitted with corneoscleral contact lenses designed to correct corneal surface irregularities. A diagnostic trial set was used for fitting, and assessments were performed according to a standardized methodology. Subjective comfort, visual acuity, central corneal thickness, endothelial cell count, and corneal-compensated intraocular pressure were evaluated. The follow-up period was one year. Results: Contact lens use was discontinued in 3 patients, thus leaving 24 eyes from 8 females and 7 males for analysis. The fitting characteristics were optimal in terms of lens position and movement. Statistically significant improvements were found in the best spectacle-corrected vision from before fitting to the visual acuity after fitting (p<0.001). Moreover, the patients reported high subjective comfort ratings and usage times (12.98 ± 2.3 hours/day). After one year of wear, visual acuity, subjective comfort, and usage time were maintained. No statistically significant adverse changes developed in the corneas over this period. Conclusion: Corneoscleral contact lenses with a multi-aspherical geometry design provide optimal visual acuity, improved comfort, and prolonged usage times in patients with irregular corneas after LASIK.
publishDate 2018
dc.date.none.fl_str_mv 2018
2018-01-01
2018
2018-01-01
2024
2024-03-25
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/20.500.12466/4111
url http://hdl.handle.net/20.500.12466/4111
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución 4.0 Internacional
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución 4.0 Internacional
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:RIUCV. Repositorio de la Universidad Católica de Valencia San Vicente Mártir
instname:Universidad Católica de Valencia San Vicente Mártir
instname_str Universidad Católica de Valencia San Vicente Mártir
reponame_str RIUCV. Repositorio de la Universidad Católica de Valencia San Vicente Mártir
collection RIUCV. Repositorio de la Universidad Católica de Valencia San Vicente Mártir
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869420024872042496
score 15,301603

Similares en LA Referencia