Langis Michaud1, Dan Samaha2, Claude J Giasson3. 1. École d'optométrie, Université de Montréal, 3744 Jean-Brillant, Suite 270, Montreal H3T 1P1, Canada. Electronic address: langis.michaud@umontreal.ca. 2. École d'optométrie, Université de Montréal, 3744 Jean-Brillant, Suite 270, Montreal H3T 1P1, Canada. 3. École d'optométrie, Université de Montréal, 3744 Jean-Brillant, Suite 270, Montreal H3T 1P1, Canada; Centre de Recherche en Organogénèse Expérimentale de l'Université Laval/LOEX et le Centre Hospitalier Universitaire de Québec, Hôpital du Saint-Sacrement, Québec, Canada.
Abstract
PURPOSE: To evaluate the variation of intra-ocular pressure during scleral lens wear, and the influence of the lens diameter on the results. METHODS: This is a prospective, randomized study performed on Caucasian subjects (16 F; 5 M), aged 24.7 + 4.1 y.o. A diurnal variation pattern (IOPg) was established, then, transpalpebral IOP (IOPt) was taken before and during SL wear. One eye, randomly fitted with a 15.8 diameter SL (L1), was compared to the fellow eye, fitted with an 18 mm SL of the same design, thickness and material (L2). Anterior segment tomography was taken pre-and after lens removal. RESULTS:Baseline IOPg (L1:15.2 + 3.1 mm HG; L2: 15.1 +/- 2.8 mm) did not reveal significant diurnal variations. Wearing L1, IOPt rose from 10.1 + 1.9 mm HG to 14.4 + 5.5 mm HG after 4.5 + 0.3 hrs, while with L2, it rose from 9.2 + 2.1 mm HG to 14.4 + 4.8 mm Hg. This difference is statistically significant based on time but not on lenses. Anterior segment parameters did not vary except for the anterior chamber volume (L1: -1.53 + 7.61 mm3; L2: -3.47 + 6.4 mm3), and for the corneal thickness (+2.1% with L1 and L2). CONCLUSION: These results suggest that, as evaluated with a non-standard transpalpebral methodology, IOP during scleral lens wear may be increased in average by 5 mm Hg, regardless of the lens diameter. More work is needed to confirm if practitioners should be warned when using SL on populations at risk for glaucoma.
RCT Entities:
PURPOSE: To evaluate the variation of intra-ocular pressure during scleral lens wear, and the influence of the lens diameter on the results. METHODS: This is a prospective, randomized study performed on Caucasian subjects (16 F; 5 M), aged 24.7 + 4.1 y.o. A diurnal variation pattern (IOPg) was established, then, transpalpebral IOP (IOPt) was taken before and during SL wear. One eye, randomly fitted with a 15.8 diameter SL (L1), was compared to the fellow eye, fitted with an 18 mm SL of the same design, thickness and material (L2). Anterior segment tomography was taken pre-and after lens removal. RESULTS: Baseline IOPg (L1:15.2 + 3.1 mm HG; L2: 15.1 +/- 2.8 mm) did not reveal significant diurnal variations. Wearing L1, IOPt rose from 10.1 + 1.9 mm HG to 14.4 + 5.5 mm HG after 4.5 + 0.3 hrs, while with L2, it rose from 9.2 + 2.1 mm HG to 14.4 + 4.8 mm Hg. This difference is statistically significant based on time but not on lenses. Anterior segment parameters did not vary except for the anterior chamber volume (L1: -1.53 + 7.61 mm3; L2: -3.47 + 6.4 mm3), and for the corneal thickness (+2.1% with L1 and L2). CONCLUSION: These results suggest that, as evaluated with a non-standard transpalpebral methodology, IOP during scleral lens wear may be increased in average by 5 mm Hg, regardless of the lens diameter. More work is needed to confirm if practitioners should be warned when using SL on populations at risk for glaucoma.
Authors: Jennifer Swingle Fogt; Cherie B Nau; Muriel Schornack; Ellen Shorter; Amy Nau; Jennifer S Harthan Journal: Optom Vis Sci Date: 2020-09 Impact factor: 2.106