| Vision-Correction Effect of RGP Contact Lens in Patients With Corneal Opacity Following Repaired Corneal Perforations. |
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Hyun Kyung Cho, Jeong Hoon Choi, Ji Wook Yang, Young Chun Lee, Su Young Kim |
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Department of Ophthalmology and Visual Science, The Catholic University of Korea School of Medicine, Uijeongbu, Korea. cassiopeia-su@hanmail.net |
| 외상으로 인한 각막혼탁 환자에서 RGP렌즈의 시력교정 효과 |
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조현경ㆍ최정훈ㆍ양지욱ㆍ이영춘ㆍ김수영 |
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Department of Ophthalmology and Visual Science, The Catholic University of Korea School of Medicine, Uijeongbu, Korea |
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| Abstract |
PURPOSE
To investigate the effect of rigid gas permeable (RGP) contact lenses in patients with corneal scar and opacity following repair of corneal perforations. METHODS: A total of 10 eyes from 10 patients undergoing repair of corneal perforating injuries and fitted with RGP contact lenses were examined in the present study. The mean postoperative 3-month visual acuities, refraction, corneal topography, keratometry, best corrected visual acuities with spectacles and RGP lenses at an average of postoperative 3 months were evaluated. RESULTS: Eight eyes had corneal opacities at the central and 2 eyes at the peripheral portion. Four patients had previous cataract surgery or cataract surgery with intraocular lens insertion due to traumatic cataract. The mean postoperative 3-month LogMAR visual acuity was 1.14 +/- 0.53. Corneal topography showed irregular astigmatism in all patients and the mean keratometric astigmatism was 4.03 +/- 4.06 diopters. The mean best corrected LogMAR visual acuities with spectacles was 0.91 +/- 0.64 and with the RGP contact lens was 0.25 +/- 0.35. A comparative analysis of improvement in visual acuity with the RGP contact lens over spectacle correction was found to be statistically significant (p = 0.005). Patients wore the lenses for more than 6 hours daily for the mean follow-up period (12.10 +/- 7.80 months). CONCLUSIONS: In patients with corneal scar and opacity following repair of corneal perforations, RGP contact lens fitting should be considered first before surgical corrections such as keratoplasty. |
| Key Words:
Corneal opacity;Corneal perforation;Corneal scar;RGP contact lens;Trauma |
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