Literature DB >> 22553715

Rigid contact lens fitting based on keratometry readings in keratoconus patients: predicting formula.

Mohammad Taher Rajabi1, Zahra Mohajernezhad-Fard, Seyede Khojaste Naseri, Fahimeh Jafari, Askar Doostdar, Parviz Zarrinbakhsh, Mohammad Bagher Rajabi, Sedigheh Kohansal.   

Abstract

AIM: To find a simple mathematical correlation between the lens base curve (BC) and keratometry findings (krf).
METHODS: This retrospective study included 400 keratoconic eyes (350 patients) previously fit with rigid contact lenses at an academic eye center over a five year period. The patients were classified into five groups based on the keratometry findings (krf<7, krf:7-8, krf>8, krf-krs (difference between two keratometry; flat and steep)= 0.3-0.6, krf-krs >0.6mm as groups 1 to 5, respectively. Multivariate linear regression and Munro's correlation coefficient were employed to defer the formulas.
RESULTS: A linear correlation could be found in all groups except for patients in group 3. For group 1, BC=0.211×krf+ 5.904. For group 2, BC=0.456×krf+4.160. For group 4, BC= 0.321×krf+5.219. For group 5, BC=0.337×krf+ 5.090.
CONCLUSION: The development of new formulas for RGP fitting enables ophthalmologists to work with confidence and prevents unnecessary and frequent lens trials. The customary lens fitting methods are needed to be replaced by new formulas, which help to save time and costs.

Entities:  

Keywords:  keratoconus; keratometry; lens fitting

Year:  2011        PMID: 22553715      PMCID: PMC3340718          DOI: 10.3980/j.issn.2222-3959.2011.05.13

Source DB:  PubMed          Journal:  Int J Ophthalmol        ISSN: 2222-3959            Impact factor:   1.779


  13 in total

Review 1.  Management of keratoconus: current scenario.

Authors:  Vishal Jhanji; Namrata Sharma; Rasik B Vajpayee
Journal:  Br J Ophthalmol       Date:  2010-08-07       Impact factor: 4.638

Review 2.  People and eyes: statistical approaches in ophthalmology.

Authors:  I E Murdoch; S S Morris; S N Cousens
Journal:  Br J Ophthalmol       Date:  1998-08       Impact factor: 4.638

3.  Baseline findings in the Collaborative Longitudinal Evaluation of Keratoconus (CLEK) Study.

Authors:  K Zadnik; J T Barr; T B Edrington; D F Everett; M Jameson; T T McMahon; J A Shin; J L Sterling; H Wagner; M O Gordon
Journal:  Invest Ophthalmol Vis Sci       Date:  1998-12       Impact factor: 4.799

4.  Comparison of axial and instantaneous videokeratographic data in keratoconus and utility in contact lens curvature prediction.

Authors:  L B Szczotka; J Thomas
Journal:  CLAO J       Date:  1998-01

5.  Standardized rigid contact lens fitting protocol for keratoconus.

Authors:  T B Edrington; J T Barr; K Zadnik; L J Davis; R E Gundel; D P Libassi; T T McMahon; M O Gordon
Journal:  Optom Vis Sci       Date:  1996-06       Impact factor: 1.973

6.  Masking of irregular corneal topography with contact lenses.

Authors:  M Griffiths; K Zahner; M Collins; L Carney
Journal:  CLAO J       Date:  1998-04

7.  Contact lenses in the visual correction of keratoconus.

Authors:  W C Fowler; M W Belin; W A Chambers
Journal:  CLAO J       Date:  1988 Oct-Dec

8.  Keratoconus. Contact lens or keratoplasty?

Authors:  W E Smiddy; T R Hamburg; G P Kracher; W J Stark
Journal:  Ophthalmology       Date:  1988-04       Impact factor: 12.079

Review 9.  Contact lens fitting in keratoconus.

Authors:  Magdalena Garcia-Lledo; Claes Feinbaum; Jorge L Alio
Journal:  Compr Ophthalmol Update       Date:  2006 Mar-Apr

10.  Refractive, topographic, tomographic, and aberrometric analysis of keratoconic eyes undergoing corneal cross-linking.

Authors:  Paolo Vinciguerra; Elena Albè; Silvia Trazza; Pietro Rosetta; Riccardo Vinciguerra; Theo Seiler; Dan Epstein
Journal:  Ophthalmology       Date:  2009-01-22       Impact factor: 12.079

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  1 in total

1.  Gas permeable contact lens fitting in keratoconus: Comparison of different guidelines to back optic zone radius calculations.

Authors:  Sara Ortiz-Toquero; Guadalupe Rodriguez; Victoria de Juan; Raul Martin
Journal:  Indian J Ophthalmol       Date:  2019-09       Impact factor: 1.848

  1 in total

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