Efficacy of an ocular bandage contact lens for the treatment of dry eye after phacoemulsification

Chen, Xiaofan; Yuan, Rongdi; Sun, Min; Chen, Xiao; Lin, Sen; Ye, Jian; Chen, Chunlin

doi:10.1186/s12886-018-1023-8

Cited by 22 publications

(24 citation statements)

References 21 publications

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“…A corneal bandage lens, especially a silicone hydrogel corneal bandage lens, is a silicone material with good water absorption capacity that can simulate the lipid layer, help retain water, and reduce tear evaporation, thereby stabilizing the tear film [ 8 ] and promoting healing of the lesion area.…”

Section: Discussionmentioning

confidence: 99%

Bandage lens for treatment of corneosclera melting two weeks after pterygium surgery

Gao

Fan²,

Wu³

et al. 2021

Medicine

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Introduction: Pterygium is a common chronic ocular surface condition in ophthalmology. At present, the main treatment modality is surgical resection. Although the recurrence rate can be controlled to varying degrees, some patients can still develop serious complications, such as scleral melting, corneal melting, and even corneal perforation. We report a case of severe corneal and scleral melting after pterygium surgery treated with a bandage lens. Patient information: A 60-year-old male who developed corneoscleral melting after pterygium surgery. Diagnosis: This patient was diagnosed with corneoscleral melting. Interventions: This patient was treated with a bandage lens and eye drops. Outcomes: He was treated with a bandage lens, and the tear break-up time (BUT) was prolonged. After 12 days the cornea and sclera were completely cured and the bandage lens was removed after one month. Conclusion: After pterygium surgery, various factors affect the occurrence of serious complications of autolysis. Mainly on ocular parts, such as the cornea and sclera, a bandage lens can stabilize the ocular surface tear film and prolong the tear break-up time (BUT), effectively prevent corneoscleral melting and promote corneoscleral cure.

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Section: Discussionmentioning

confidence: 99%

Bandage lens for treatment of corneosclera melting two weeks after pterygium surgery

Gao

Fan²,

Wu³

et al. 2021

Medicine

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“…In a comparison of clinical signs and symptoms of dry eye after phacoemulsification performed after retrobulbar block, those who wore BSCLs for 1 week had reduced signs and symptoms of dry eye when compared to those who wore an eye pad on the first day, at all evaluated time points (1 week, 1 month, 3 months) [180]. Another study examined the effects of BSCL wear after phacoemulsification on dry eye symptoms in patients with mild meibomian gland dysfunction [181]. Dry eye symptoms were improved with BSCL use for 1 week versus no lens, with a statistically significant decrease in OSDI and subjective symptom scores at day 7 and day 14 post-op.…”

Section: Phacoemulsificationmentioning

confidence: 99%

BCLA CLEAR – Medical use of contact lenses

Jacobs

Carrasquillo²,

Cottrell

et al. 2021

Contact Lens and Anterior Eye

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The medical use of contact lenses is a solution for many complex ocular conditions, including high refractive error, irregular astigmatism, primary and secondary corneal ectasia, disfiguring disease, and ocular surface disease. The development of highly oxygen permeable soft and rigid materials has extended the suitability of contact lenses for such applications. There is consistent evidence that bandage soft contact lenses, particularly silicone hydrogel lenses, improve epithelial healing and reduce pain in persistent epithelial defects, after trauma or surgery, and in corneal dystrophies. Drug delivery applications of contact lens hold promise for improving topical therapy. Modern scleral lens practice has achieved great success for both visual rehabilitation and therapeutic applications, including those requiring retention of a tear reservoir or protection from an adverse environment. This report offers a practical and relevant summary of the current evidence for the medical use of contact lenses for all eye care professionals including optometrists, ophthalmologists, opticians, and orthoptists. Topics covered include indications for use in both acute and chronic conditions, lens selection, patient selection, wear and care regimens, and recommended aftercare schedules. Prevention, presentation, and management of complications of medical use are reviewed.

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“…The tear film is a remarkable factor of post-operative visual performance after phacoemulsification [34][35][36][37][38][39][40] which also needs to be considered. Tear film instability and inappropriate quality is known to adversely affect image quality [45,46].…”

Section: Plos Onementioning

confidence: 99%

“…The quality of the tear film has a prominently important role in the post-operative outcome after phacoemulsification with IOL implantation. Post-operative use of artificial tears [34,35], diquafosol ophthalmic solution 3% [36,37] and bandage contact lens [38] was found to improve the quality of the tear film in pseudophakic patients. Dry eye was reported to be the second or third most important reason of dissatisfaction after multifocal intraocular lens implantation [39,40].…”

Section: Introductionmentioning

confidence: 96%

The assessment of the impact of glistening on visual performance in relation to tear film quality

Argay

Vámosi

2020

PLoS ONE

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Background The aim of our case control study was to evaluate the impact of glistening and tear film quality on visual performance after implantation of two different hydrophobic acrylic intraocular lenses (IOLs). Materials and methods In our retrospective study we included cataract patients operated between January 1, 2011 and December 31, 2012, with follow-up controls between January 2016 and December 2019. Z-Flex 860FAB (Medicontur) and AcrySof IQ SN60WF (Alcon) monofocal IOLs were implanted during standard phacoemulsification. Best corrected distance visual acuity (BCDVA) and contrast sensitivity were monitored over the post-operative period of up to 6 years. Glistening was evaluated semi-quantitatively with slit-lamp biomicroscopy and quantitatively using Pentacam HR (Oculus). Using HD Analyzer OQAS (Visiometrics), total intraocular light diffusion was interpreted with the objective scatter index (OSI) and tear film quality was evaluated with the tear film related objective scatter index (TF-OSI). Results 26 eyes implanted with the Z-Flex and 25 eyes with the AcrySof IQ IOLs were included in the analysis. The slit-lamp evaluation of patients with the Z-Flex IOL (0.57 ± 0.60) revealed significantly less glistening (p<0.0001), compared to the AcrySof IQ group (1.82 ± 0.90), and these observations were confirmed by the Pentacam HR analyses, as well (Z-Flex group: 35.1 ± 1.63, Acrysof IQ: 39.6 ± 3.69, p<0.0001). TF-OSI differed between the two sets of patients remarkably (1.53 ± 1.03 vs. 2.51 ± 1.76 for AcrySof IQ and Z-Flex groups, respectively, p = 0.043). Both groups of patients provided similar results of BCDVA and contrast sensitivity. Conclusion Glistening and tear film quality both contribute to visual performance outcomes after cataract surgery. In our study the advantage of less glistening in the Z-Flex IOL might have been

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Efficacy of an ocular bandage contact lens for the treatment of dry eye after phacoemulsification

Cited by 22 publications

References 21 publications

Bandage lens for treatment of corneosclera melting two weeks after pterygium surgery

Bandage lens for treatment of corneosclera melting two weeks after pterygium surgery

BCLA CLEAR – Medical use of contact lenses

The assessment of the impact of glistening on visual performance in relation to tear film quality

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