Visual rehabilitation using mini-scleral contact lenses after penetrating
            keratoplasty

Rocha, Guilherme Andrade do Nascimento; Miziara, Patrícia Oliveira Braga; Castro, Ana Clara Vieira de; Rocha, Arthur D. D.

doi:10.5935/0004-2749.20170006

Cited by 19 publications

(24 citation statements)

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“… 134 , 135 , 136 Most patients require spectacles after surgery, and in certain cases, contact lenses can offer 1–2 lines better vision compared to spectacles, but they do not achieve visual stability until one year after surgery. 135 , 137 , 138 , 139 , 140 , 141 In a 24-month follow-up study by Asena and Altınörs, 83% of the patients needed spectacles, and 17% needed to wear contact lenses. 142 …”

Section: Methodsmentioning

confidence: 99%

Updates on Managements for Keratoconus

Mohammadpour

Heidari

Hashemi

2018

Journal of Current Ophthalmology

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PurposeKeratoconus is a progressive disease of the cornea which can lead to blindness as irregular astigmatism increases. Currently, a variety of methods are available for the treatment of keratoconus, and in certain cases, it may be difficult to choose the most appropriate option. This article reviews available treatment modalities for keratoconus to provide the practitioner with practical and useful information for selecting the most suitable option for each individual patient.MethodsTo review treatment methods for different stages of keratoconus, PubMed (United States National Library of Medicine) and Scopus (Elsevier BV) databases were searched using the keywords “keratoconus”, “contact lens”, “cross-linking”, “Intacs”, “keratoplasty”, “gene therapy”, and “irregular astigmatism”, and related articles were reviewed based on disease assessment parameters and treatment methods.ResultsVarious methods are available for the treatment of keratoconus: eyeglasses and contact lenses in the early stages, cross-linking for stabilizing disease progression, intrastromal corneal ring segments (ICRS) for reducing refractive errors or flattening the cornea, and penetrating keratoplasty (PK) and deep anterior lamellar keratoplasty (DALK), conductive keratoplasty, gene therapy and more recently, bowman layer transplantation (BL transplantation) in advanced stages of the disease. To achieve optimum results, it is essential to choose the best option for each individual patient.ConclusionsA commonality of the reviewed papers was the advancement of novel diagnostic and treatment methods in ophthalmology, which can delay the need for corneal grafting. A better understanding of keratoconus treatment options can help enhance visual rehabilitation and prevent blindness in keratoconus patients.

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Section: Methodsmentioning

confidence: 99%

Updates on Managements for Keratoconus

Mohammadpour

Heidari

Hashemi

2018

Journal of Current Ophthalmology

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“…There has been a dramatic increase in the number of scleral publications from 2012 to 2016 compared to the previous 5-year period based on a recent study on the body of scleral lens-related scientific research [1]. Recent literature includes single-center, retrospective case series which generally describe a single lens design and unified fitting philosophy [2][3][4][5][6][7]. Studies on observed or potential impact of scleral lenses on ocular surface structures have also been published within the past 5 years [8,9], as has research on the structure and contour of conjunctival, episcleral, and scleral tissue [10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Visual and physiological outcomes of scleral lens wear

Schornack

Nau

et al. 2019

Contact Lens and Anterior Eye

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“…The majority of patients had poor compliance and were taking oral and/or topical corticosteroids which play a role in reducing the immune defense system. [14][15][16][17]24,[37][38][39] Acanthamoeba keratitis (AK) has been documented with ScCL use. 26,39 ScCL cause mild hypoxic changes to the cornea epithelium tissue due to decreased tear exchange and larger lens diameter.…”

Section: Microbial Keratitismentioning

confidence: 99%

“…13 Hygiene and compliance are also fundamental in preventing the development of infections. [14][15][16][17] This paper will discuss ScCL problems related to handling, care, and compliance. Management, symptoms, clinical signs and etiology of issues and complications are presented in Tables 1-3.…”

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confidence: 99%

Scleral Lens Issues and Complications Related to Handling, Care and Compliance

Fadel

Toabe

2018

JCLRS

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Scleral contact lens (ScCL) handling may be challenging and is the principle reason for ScCL drop out. ScCL care systems are more intricate than other lens modalities and include solutions for cleaning, disinfection, storing, rinsing and filling the lens; respecting the use of each solution recommended is fundamental. Replacement of the lenses, solutions, case and plungers are important in order to decrease the risk of adverse events associated with ScCL wear. Compliance is crucial regarding hygiene, solution use, case and plunger care, wear time, follow-up schedule, and handling techniques. Non-compliance may lead to discontinuation of ScCL due to difficulties associated with this unique lens design. This paper presents complications secondary to handling, care and compliance that clinicians and patients may encounter while wearing ScCL. Instructions are provided to enhance the understanding on management surrounding these issues. This manuscript includes three tables to summarize types of complications, their symptoms, clinical signs, etiology, and management for a quick find index for easy consultation during daily clinical practice.

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Visual rehabilitation using mini-scleral contact lenses after penetrating keratoplasty

Cited by 19 publications

References 0 publications

Updates on Managements for Keratoconus

Updates on Managements for Keratoconus

Visual and physiological outcomes of scleral lens wear

Scleral Lens Issues and Complications Related to Handling, Care and Compliance

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