Évaluation de la qualité de vision après chirurgie réfractive au laser chez les professionnels de santé

Lellouch, J; Saad, Alain; Guilbert, Emmanuel; Gatinel, Damien

doi:10.1016/j.jfo.2016.09.005

Journal Français d'Ophtalmologie

2016

DOI: 10.1016/j.jfo.2016.09.005

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Évaluation de la qualité de vision après chirurgie réfractive au laser chez les professionnels de santé

J Lellouch

Alain Saad

Emmanuel Guilbert

et al.

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2022

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“…Current techniques have a satisfaction rate of over 90%. 4,5 The most commonly used techniques are photorefractive keratectomy (PRK), LASIK, and small incision lenticule extraction (SMILE). These procedures can correct almost all types of refractive error.…”

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confidence: 99%

Benefits of Scleral Lens in the Management of Irregular Corneas and Dry Eye Syndrome After Refractive Surgery

Marty

Jurkiewicz

Mouchel

et al. 2022

Eye &Amp; Contact Lens: Science &Amp; Clinical Practice

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Objectives:To evaluate the utility of the SPOT scleral lens (Oxygen Permeable Scleral Lens of Thonon; LAO, Thonon-les-Bains, France) in the management of the irregular cornea after refractive surgery.Method:We included 19 patients (35 eyes) with irregular corneas after refractive surgery. Patients were fitted with scleral lenses after the failure of conventional contact lenses adaptation. The ophthalmologic examination included measurement of best-corrected visual acuity (BCVA), slitlamp examination, and evaluation of ocular aberrations (Objective Scattering Index [OSI] and higher-order aberration [HOA]).Result:Scleral lens fitting increases significantly the BCVA from 0.33 (±0.25) to 0.08 (±0.13) LogMAR (P<0.001). There was also a significant decrease in Ocular Surface Disease Index from 66.2±22.8 to 42.4±18.9 (P<0.001). Ocular aberrations (OAs) are also significantly reduced by the scleral lenses, the mean OSI goes from 7.2 (±4.2) to 3.0 (±1.8) (P<0.001), OA from 2.58 (±1.34) to 1.98 μm (±2.31) (P=0.035), and HOA from 0.94 (±0.51) to 0.48 (±0.23) (P=0.0018).Conclusion:Fitting with scleral lenses improves patients' optical and ocular surface problems. Scleral lens restores BCVA and the quality of life. Fitting with scleral lenses is an alternative to further surgery on these fragile eyes and is sometimes the only viable treatment option for the patient.

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mentioning

confidence: 99%

Benefits of Scleral Lens in the Management of Irregular Corneas and Dry Eye Syndrome After Refractive Surgery

Marty

Jurkiewicz

Mouchel

et al. 2022

Eye &Amp; Contact Lens: Science &Amp; Clinical Practice

View full text Add to dashboard Cite

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Évaluation de la qualité de vision après chirurgie réfractive au laser chez les professionnels de santé

Cited by 1 publication

References 23 publications

Benefits of Scleral Lens in the Management of Irregular Corneas and Dry Eye Syndrome After Refractive Surgery

Benefits of Scleral Lens in the Management of Irregular Corneas and Dry Eye Syndrome After Refractive Surgery

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