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Suction cup/contact lens complications following penetrating keratoplasty.

Publication ,  Journal Article
Ingraham, HJ; Perry, HD; Epstein, AB; Donnenfeld, ED; Gwin, TD; Carlson, AN; Moadel, K; Mariani, RE
Published in: CLAO J
January 1998

PURPOSE: Rigid gas permeable (RGP) contact lenses facilitate visual rehabilitation in cases of high or irregular corneal astigmatism following penetrating keratoplasty. A variety of plunger-like suction cup devices are available to assist in the removal of these lenses. METHODS: We report three patients with serious complications associated with the use of a suction cup device for contact lens removal following penetrating keratoplasty. RESULTS: Two patients suffered corneal wound dehiscence following contact lens removal; one contact lens was removed by the patient's spouse and the other was removed by a trained technician. A third patient triggered a graft rejection, and ultimately, graft failure, after a vigorous attempt at lens removal. CONCLUSIONS: Forces generated by suction cup devices during removal of RGP contact lenses are sufficient to cause significant trauma. Contact lenses with an apical clearance fit may augment these forces, with the potential for complications following penetrating keratoplasty.

Duke Scholars

Published In

CLAO J

ISSN

0733-8902

Publication Date

January 1998

Volume

24

Issue

1

Start / End Page

59 / 62

Location

United States

Related Subject Headings

  • Visual Acuity
  • Surgical Wound Dehiscence
  • Suction
  • Reoperation
  • Ophthalmology & Optometry
  • Male
  • Keratoplasty, Penetrating
  • Humans
  • Graft Rejection
  • Follow-Up Studies
 

Citation

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Ingraham, H. J., Perry, H. D., Epstein, A. B., Donnenfeld, E. D., Gwin, T. D., Carlson, A. N., … Mariani, R. E. (1998). Suction cup/contact lens complications following penetrating keratoplasty. CLAO J, 24(1), 59–62.
Ingraham, H. J., H. D. Perry, A. B. Epstein, E. D. Donnenfeld, T. D. Gwin, A. N. Carlson, K. Moadel, and R. E. Mariani. “Suction cup/contact lens complications following penetrating keratoplasty.CLAO J 24, no. 1 (January 1998): 59–62.
Ingraham HJ, Perry HD, Epstein AB, Donnenfeld ED, Gwin TD, Carlson AN, et al. Suction cup/contact lens complications following penetrating keratoplasty. CLAO J. 1998 Jan;24(1):59–62.
Ingraham, H. J., et al. “Suction cup/contact lens complications following penetrating keratoplasty.CLAO J, vol. 24, no. 1, Jan. 1998, pp. 59–62.
Ingraham HJ, Perry HD, Epstein AB, Donnenfeld ED, Gwin TD, Carlson AN, Moadel K, Mariani RE. Suction cup/contact lens complications following penetrating keratoplasty. CLAO J. 1998 Jan;24(1):59–62.

Published In

CLAO J

ISSN

0733-8902

Publication Date

January 1998

Volume

24

Issue

1

Start / End Page

59 / 62

Location

United States

Related Subject Headings

  • Visual Acuity
  • Surgical Wound Dehiscence
  • Suction
  • Reoperation
  • Ophthalmology & Optometry
  • Male
  • Keratoplasty, Penetrating
  • Humans
  • Graft Rejection
  • Follow-Up Studies