Less Complex Contact Lens Required for a Patient With Keratoconus After Topography-Guided Photorefractive Keratectomy.


Journal

Eye & contact lens
ISSN: 1542-233X
Titre abrégé: Eye Contact Lens
Pays: United States
ID NLM: 101160941

Informations de publication

Date de publication:
01 Nov 2023
Historique:
accepted: 24 06 2023
medline: 26 10 2023
pubmed: 25 8 2023
entrez: 25 8 2023
Statut: ppublish

Résumé

In this report, we discuss contact lens (CL) fitting in a patient with a history of keratoconus (KC), before and after undergoing topography-guided photorefractive keratectomy (TG PRK). Before TG PRK, the patient failed multiple CL modalities and reported difficulty with his habitual CLs and inadequate spectacle-corrected visual acuity to perform his activities of daily living. In this case, a collaborative, comprehensive approach to visual management in a patient with KC was used, and after TG PRK was performed to improve his corneal contour and symmetry, our patient was fit with a standard soft CL and additionally had improved spectacle-corrected visual acuity.

Identifiants

pubmed: 37625152
doi: 10.1097/ICL.0000000000001023
pii: 00140068-990000000-00132
doi:

Substances chimiques

Cross-Linking Reagents 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

505-507

Subventions

Organisme : Research to Prevent Blindness
ID : Unrestricted Research Grant

Informations de copyright

Copyright © 2023 Contact Lens Association of Ophthalmologists.

Déclaration de conflit d'intérêts

The authors have no conflicts of interest to disclose.

Références

Andreanos KD, Hashemi K, Petrelli M, et al. Keratoconus treatment algorithm. Ophthalmol Ther 2017;6:245–262.
Cennamo G, Intravaja A, Boccuzzi D, et al. Treatment of keratoconus by topography-guided customized photorefractive keratectomy: Two-year follow-up study. J Refractive Surg 2008;24:145–149.
Esporcatte LPG, Salomão MQ, Sena NB Jr, et al. Advanced surface ablation in mild (fruste) keratoconus: A case report. Ophthalmol Ther 2020;9:355–363.
Guedj M, Saad A, Audureau E, Gatinel D. Photorefractive keratectomy in patients with suspected keratoconus: Five-year follow up. J Cataract Refractive Surg 2013;39:66–73.
Kanellopoulos AJ, Binder PS. Collagen cross-linking (CCL) with sequential topography-guided PRK: A temporizing alternative for keratoconus to penetrating keratoplasty. Cornea 2007;26:891–895.
Kontadakis GA, Kankariya VP, Tsoulnaras K, et al. Long-term comparison of simultaneous topography-guided photorefractive keratectomy followed by corneal cross-linking versus corneal cross-linking alone. Ophthalmology 2016;123:974–983.
Nattis AS, Rosenberg ED, Donnenfeld ED. One-year visual and astigmatic outcomes of keratoconus patients following sequential crosslinking and topography guided surface ablation: The TOPOLINK study. J Cataract Refract Surg 2020;46:507–516.
Ormonde S. Refractive surgery for keratoconus. Clin Exp Optom 2013;96:173–182.
Saraç Ö, Kars ME, Temel B, çağıl N. Clinical evaluation of different types of contact lenses in keratoconus management. Cont Lens Anterior Eye 2019;42:482–486.
Vazirani J, Basu S. Keratoconus: Current perspectives. Clin Ophthalmol 2013;7:2019–2030.

Auteurs

Elizabeth H Roll (EH)

Department of Ophthalmology (E.H.R., J.D.G., P.S.H., S.A.G.), Rutgers-New Jersey Medical School, Newark, NJ; and Cornea and Laser Eye Institute-CLEI Center for Keratoconus (J.D.G., P.S.H., A.S.Y., B.S., S.A.G.), Teaneck, NJ.

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