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Role of rigid gas-permeable scleral contact lenses in the management of advanced atopic keratoconjunctivitis.

Publication ,  Journal Article
Margolis, R; Thakrar, V; Perez, VL
Published in: Cornea
October 2007

To describe the use of rigid gas-permeable scleral contact lenses (ScCL) in the treatment and visual rehabilitation of patients with medically controlled advanced atopic keratoconjunctivitis (AKC).Retrospective chart review of 10 eyes with medically controlled advanced AKC whose treatment included the use of ScCL for protection of the cornea from the ocular surface environment and visual rehabilitation. Outcomes measured were changes in biomicroscopic findings and visual acuity.Median follow-up period after ScCL fitting was 20.5 months (range, 14-32 months). An improvement in conjunctival hyperemia and corneal epithelial defects was observed in all eyes. Median best-corrected visual acuity before ScCL was logMAR 0.651 (Snellen 20/90; range, 20/45-20/400). After proper ScCL fitting, median logMAR visual acuity was 0.239 (Snellen 20/35; range, 20/20-20/50; P = 0.001). All patients gained at least 1 line of vision after initiation of ScCL, and 9 of 10 eyes experienced an improvement of at least 2 lines of vision. ScCL use was well tolerated by all patients, and no complications or infections occurred as a result of ScCL wear.Rigid gas-permeable ScCL are useful and safe to use in the management of the ocular surface and in the visual rehabilitation of eyes with medically controlled advanced AKC.

Published In

Cornea

DOI

EISSN

1536-4798

ISSN

0277-3740

Publication Date

October 2007

Volume

26

Issue

9

Start / End Page

1032 / 1034

Related Subject Headings

  • Visual Acuity
  • Vision Disorders
  • Sclera
  • Retrospective Studies
  • Ophthalmology & Optometry
  • Middle Aged
  • Male
  • Humans
  • Female
  • Contact Lenses
 

Citation

APA
Chicago
ICMJE
MLA
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Margolis, R., Thakrar, V., & Perez, V. L. (2007). Role of rigid gas-permeable scleral contact lenses in the management of advanced atopic keratoconjunctivitis. Cornea, 26(9), 1032–1034. https://doi.org/10.1097/ico.0b013e3181245172
Margolis, Ron, Vishakha Thakrar, and Victor L. Perez. “Role of rigid gas-permeable scleral contact lenses in the management of advanced atopic keratoconjunctivitis.Cornea 26, no. 9 (October 2007): 1032–34. https://doi.org/10.1097/ico.0b013e3181245172.
Margolis, Ron, et al. “Role of rigid gas-permeable scleral contact lenses in the management of advanced atopic keratoconjunctivitis.Cornea, vol. 26, no. 9, Oct. 2007, pp. 1032–34. Epmc, doi:10.1097/ico.0b013e3181245172.

Published In

Cornea

DOI

EISSN

1536-4798

ISSN

0277-3740

Publication Date

October 2007

Volume

26

Issue

9

Start / End Page

1032 / 1034

Related Subject Headings

  • Visual Acuity
  • Vision Disorders
  • Sclera
  • Retrospective Studies
  • Ophthalmology & Optometry
  • Middle Aged
  • Male
  • Humans
  • Female
  • Contact Lenses