Visual Outcomes with Contact Lenses Previous Keratoplasty

Abstract

We describe a case of a 22-year-old patient, with severe keratoconus in both eyes. Penetrating keratoplasty in left eye was performed in August 2011. The patient was awaiting postoperative stabilization of this eye prior to surgery on the right eye. Therefore, a Clearkone ® hybrid contact lens was fitted on the right eye to maintain corneal epithelial integrity, improve quality of vision and therefore qualify of life during this interim period. Visual acuity with the contact lens was +0.1 logMAR. Comfort was excellent and the patient was able to wear the Clearkone ® lens up to 12 hours per day. Similar outcomes regarding vision and comfort were obtained at follow-up visits through 9 months. In conclusion, new hybrid contact lens designs for keratoconus are an excellent option for vision rehabilitation in severe cases of keratoconus which would otherwise be left with low vision for several months while waiting for keratoplasty.