Arun K Jain1, Jaspreet Sukhija. 1. Department of Ophthalmology, Postgraduate Institute of Medical Education and Research, Chandigarh, India. aronkjain@yahoo.com
Abstract
AIM: To report clinical experience and the comparative value of axial and instantaneous topography data in fitting Rose-K design contact lenses in moderate and severe keratoconus. MATERIALS AND METHODS: Thirty-eight eyes (of 23 patients) with keratoconus were fitted with Rose-K design contact lenses and followed up for at least six months or more. Visual acuity with habitual vision correction available was measured. Axial and instantaneous topography maps for each eye were recorded. Contact lens wear comfort was graded on a ten point rating scale every three months. RESULTS: Fourteen (100%) moderate keratoconus eyes (average Sim K 48.61 +/- 1.24D) and 23 of 24 (96%) of severe keratoconus eyes (average Sim K 60.88 +/- 5.31D) were successfully fitted with the Rose-K lenses. Final fit contact lenses in severe keratoconus had statistically significant steeper base curves compared to average axial corneal curvature than in moderate keratoconus eyes. Average simulated corneal curvature on axial maps predicted final fit contact lens base curves significantly better than on instantaneous maps. Thirty-three of the 37 eyes fitted with contact lenses maintained wear comfort over average follow up period of 13 +/- 3.5 months. CONCLUSIONS: Rose-K design rigid contact lenses are successful in visually rehabilitating 100% of moderate and 96% of severe keratoconus eyes. Most patients (90%) maintained contact lens wear comfort. Corneal curvature on axial maps is a better predictive of base curve of final fit contact lens.
AIM: To report clinical experience and the comparative value of axial and instantaneous topography data in fitting Rose-K design contact lenses in moderate and severe keratoconus. MATERIALS AND METHODS: Thirty-eight eyes (of 23 patients) with keratoconus were fitted with Rose-K design contact lenses and followed up for at least six months or more. Visual acuity with habitual vision correction available was measured. Axial and instantaneous topography maps for each eye were recorded. Contact lens wear comfort was graded on a ten point rating scale every three months. RESULTS: Fourteen (100%) moderate keratoconus eyes (average Sim K 48.61 +/- 1.24D) and 23 of 24 (96%) of severe keratoconus eyes (average Sim K 60.88 +/- 5.31D) were successfully fitted with the Rose-K lenses. Final fit contact lenses in severe keratoconus had statistically significant steeper base curves compared to average axial corneal curvature than in moderate keratoconus eyes. Average simulated corneal curvature on axial maps predicted final fit contact lens base curves significantly better than on instantaneous maps. Thirty-three of the 37 eyes fitted with contact lenses maintained wear comfort over average follow up period of 13 +/- 3.5 months. CONCLUSIONS: Rose-K design rigid contact lenses are successful in visually rehabilitating 100% of moderate and 96% of severe keratoconus eyes. Most patients (90%) maintained contact lens wear comfort. Corneal curvature on axial maps is a better predictive of base curve of final fit contact lens.
Authors: Waleed Ali Abou Samra; Amani E Badawi; Hanem Kishk; Ayman Abd El Ghafar; Mohamed M Elwan; Hossam Youssef Abouelkheir Journal: J Ophthalmol Date: 2018-02-01 Impact factor: 1.909