Efficacy of visual rehabilitation of patients with pellucid marginal degeneration fitted with SPOT® scleral contact lenses

Evidence of Contact Lenses for Vision Rehabilitation in Corneal Diseases: A Review

“…4,19,24,35 Such is the case of Levit et al, who defended that comfort with SL was greater in patients with KC or PMD, and more than half of their patients preferred to use SL than RGPCL. 19 Similar outcomes were reported by Bézé et al 4 and by Asena et al 35 More evidence is still needed to confirm this trend.…”

“…35 However, we should consider that most publications supported the use of the SL as the best option, because it provides better tolerance and VA than RGPCL. 4,19,24,35 Such is the case of Levit et al, who defended that comfort with SL was greater in patients with KC or PMD, and more than half of their patients preferred to use SL than RGPCL. 19 Similar outcomes were reported by Bézé et al 4 and by Asena et al 35 More evidence is still needed to confirm this trend.…”

“…1–3 The most common visual symptoms in these patients are blurred vision, photophobia, red eye, discharge, foreign body sensation, itching, or eye pain. 4,5 These symptoms influence their social interaction and personal relationships, and their daily activities and ability to work. 6–9 The most common sign is an irregular astigmatism that can be related to different diseases or conditions, such as keratoconus (KC) (see Table , Supplemental Digital Content 1 , http://links.lww.com/ICL/A260), pellucid marginal degeneration (PMD), corneal transplant or scar, corneal ectasia after refractive surgery, intracorneal stromal rings segment (ICRS), corneal trauma, severe ocular dryness, exposure keratitis, and diffuse or nodular corneal opacities, among others.…”

Peliucidinė Kraštinė Ragenos Degeneracija

“…Tokiose situacijose galėtų būti pritaikyti skleriniai kontaktiniai lęšiai, kurie remiasi į skleros paviršių ir išlieka vietoje, mirksint [19]. Nors skleriniai lęšiai turi trūkumų (jų gamyba ir pritaikymas ilgai trunka, praleidžia tik labai mažą deguonies kiekį), tai puikus metodas gerokai pagerinti regos aštrumą, kai kitos korekcijos priemonės nebetinka [2,26]. Šie lęšiai yra daug saugesnis variantas, nei chirurginis gydymas [11,26].…”

“…Nors skleriniai lęšiai turi trūkumų (jų gamyba ir pritaikymas ilgai trunka, praleidžia tik labai mažą deguonies kiekį), tai puikus metodas gerokai pagerinti regos aštrumą, kai kitos korekcijos priemonės nebetinka [2,26]. Šie lęšiai yra daug saugesnis variantas, nei chirurginis gydymas [11,26].…”