Scleral lens after intracorneal ring segments in patients with keratoconus

被引:8
|
作者
Rathi, Varsha M. [1 ]
Mandathara, Preeji S. [2 ]
Dumpati, Srikanth [1 ,2 ]
Sangwan, Virender S. [1 ]
机构
[1] LV Prasad Eye Inst, Tej Kohli Cornea Inst, LV Prasad Marg, Hyderabad 500034, TS, India
[2] LV Prasad Eye Inst, Bausch & Lomb Contact Lens Ctr, Kallam Anji Reddy Campus, Hyderabad, TS, India
来源
CONTACT LENS & ANTERIOR EYE | 2018年 / 41卷 / 02期
关键词
Scleral lens; Intracorneal ring segment; Keratoconus; POST-LASIK ECTASIA; CONTACT-LENSES; CORNEAL ECTASIA; IMPLANTATION; INTACS;
D O I
10.1016/j.clae.2017.10.013
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Background: To report the use of scleral lens (ScCL) to improve vision in patients having keratoconus who had intracorneal ring segment (ICRS) surgery. Methods: Two eyes of two keratoconus patients fitted with ScCL (PROSE - prosthetic replacement of the ocular surface ecosystem, USA) after having undergone ICRS surgery are reported as noncomparative interventional case series. The ICRS implanted were INTACs and kerarings. Indications, visual acuity with ScCL, complications and follow-up are reported. Results: Case 1 underwent ScCL trial as he was referred for keratoplasty for being contact lens intolerant after ICRS surgery. Case 2 was intolerant to both corneal rigid gas permeable (RGP) lens and soft contact lens (SCL). 18.5 and 18 mm diameter ScCLs were dispensed to Case 1 and 2 respectively. The ScCLs had adequate corneal clearance with no corneal touch. There was no staining of the cornea or vascularization with the lens use. Case 1 complained of double images during trial with different Front surface eccentricity (FSE). A ScCL that did not cause diplopia was ordered. At four months of lens wear, the patient had diplopia with ScCL, which cleared when second lens with changed FSE was dispensed. Case 2 used SCL for five years before ScCL was fitted. He used the same ScCLs for five years. ScCL use resulted in improved comfort and visual acuity of 20/20. No complications were noted. Conclusions: ScCL may be tried in patients who have ICRS and are intolerant to corneal RGP or SCL and before subjecting such patients to keratoplasty.
引用
收藏
页码:234 / 237
页数:4
相关论文
共 50 条
  • [41] Intracorneal ring segments for keratoconus correction:: Long-term follow-up
    Alio, Jorge L.
    Shabayek, Mohamed H.
    Artola, Alberto
    JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 2006, 32 (06): : 978 - 985
  • [42] Posterior cornea and thickness changes after scleral lens wear in keratoconus patients
    Serramito, Maria
    Carpena-Torres, Carlos
    Carballo, Jesus
    Pinero, David
    Lipson, Michael
    Carracedo, Gonzalo
    CONTACT LENS & ANTERIOR EYE, 2019, 42 (01): : 85 - 91
  • [43] Quality-of-Life Improvement After Scleral Lens Fitting in Patients With Keratoconus
    Baudin, Florian
    Chemaly, Alicia
    Arnould, Louis
    Barrenechea, Elsa
    Lestable, Lolita
    Bron, Alain M.
    Creuzot-Garcher, Catherine
    EYE & CONTACT LENS-SCIENCE AND CLINICAL PRACTICE, 2021, 47 (09): : 520 - 525
  • [44] Scheimpflug-based derived aberrometry before and after implantation of different combinations of intracorneal ring segments (ICRS) in keratoconus
    Alejandre-Alba, Nicolas
    Perez-Merino, Pablo
    Quintana, Silvia
    Pascual, Pedro
    Jimenez-Alfaro, Ignacio
    Marcos, Susana
    INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE, 2015, 56 (07)
  • [45] Use of a Mini-Scleral Lens in Patients with Keratoconus
    Turhan, Semra Akkaya
    Ozcan, Deniz Ozarslan
    Toker, Ebru
    TURK OFTALMOLOJI DERGISI-TURKISH JOURNAL OF OPHTHALMOLOGY, 2020, 50 (06): : 339 - 342
  • [46] Detecting True Change in Keratoconus after Intracorneal Ring Segment Implantation
    Arnalich-Montiel, Francisco
    Fuente, Carlota
    Auladell, Clara
    Ortiz-Toquero, Sara
    LIFE-BASEL, 2023, 13 (04):
  • [47] Severe corneal melting long after introduction of an intracorneal ring for keratoconus
    Loriaut, P.
    Temstet, C.
    Borderie, V.
    Laroche, L.
    JOURNAL FRANCAIS D OPHTALMOLOGIE, 2016, 39 (03): : 324 - 326
  • [48] Correction of severe ectasia after LASIK with intracorneal ring segments
    Uceda-Montanes, Antonio
    Tomas, Jose D.
    Alio, Jorge L.
    JOURNAL OF REFRACTIVE SURGERY, 2008, 24 (04) : 408 - 411
  • [49] New technique for enhancing the astigmatic correction of intracorneal ring segments in keratoconus eyes with a central cone
    Bteich, Yara
    Mehanna, Carl-Joe
    Fattah, Maamoun A.
    Saad, Alain
    Antonios, Rafic
    Nasser, Marc
    Awwad, Shady T.
    SAUDI JOURNAL OF OPHTHALMOLOGY, 2025, 39 (01) : 54 - 59
  • [50] Diurnal stability of refraction after implantation with intracorneal ring segments
    Twa, MD
    Hurst, TJ
    Walker, JG
    Waring, GO
    Schanzlin, DJ
    JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 2000, 26 (04): : 516 - 523