Scleral Lens Applications Focused on Korean Patients with Various Corneal Disorders
| العنوان: | Scleral Lens Applications Focused on Korean Patients with Various Corneal Disorders |
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| المؤلفون: | Ko Eun Lee, Su Young Moon, Sanghyu Nam, Joon Hyuck Jang, Jae Yong Kim, Hungwon Tchah, Hun Lee |
| المصدر: | Korean Journal of Ophthalmology. 37:157-165 |
| بيانات النشر: | Korean Ophthalmological Society, 2023. |
| سنة النشر: | 2023 |
| مصطلحات موضوعية: | Ophthalmology |
| الوصف: | Purpose: We aimed to report on the clinical outcomes of scleral lens applications in Korean patients with various corneal disorders.Methods: This retrospective review was conducted for 62 eyes of 47 patients who had been fitted with scleral lenses for various corneal disorders. The patients were referred for inadequate spectacle-corrected visual acuity and rigid gas permeable (RGP) or soft contact lens intolerance. Uncorrected visual acuity, habitually corrected visual acuity, best lens-corrected visual acuity, topographic indices, keratometry indices, and lens parameters were evaluated.Results: Twenty-six eyes of 19 patients with keratoconus were enrolled. Other conditions included corneal scar (13 eyes of 12 patients), phlyctenules (three eyes), laceration (four eyes), chemical burn (one eye), keratitis (one eye), Peters’ anomaly (one eye), fibrous dysplasia (one eye), ocular graft-versus-host disease (two eyes of one patient), irregular astigmatism (18 eyes of 12 patients), and corneal transplant status (five eyes of four patients). The mean topographic values of the eyes include flat keratometric value (43.0 ± 6.1 diopters [D]), steep keratometric value (48.0 ± 7.4 D), and astigmatism (4.9 ± 3.6 D). Of the eyes fitted with scleral lenses, best lens-corrected visual acuity (0.10 ± 0.22 logarithm of the minimum angle of resolution [logMAR]) was significantly better than the habitually corrected visual acuity (0.59 ± 0.62 logMAR, p < 0.001).Conclusions: Scleral contact lenses are a good alternative for patients with corneal abnormalities and those who are intolerable to RGP contact lenses, resulting in both successful visual outcomes and patient satisfaction, especially concerning keratoconus, corneal scar, and corneal transplant status. |
| تدمد: | 2092-9382 1011-8942 |
| DOI: | 10.3341/kjo.2022.0164 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::324c89e31103b51d0fc7c5a783da6376 https://doi.org/10.3341/kjo.2022.0164 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi...........324c89e31103b51d0fc7c5a783da6376 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20929382 10118942 |
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| DOI: | 10.3341/kjo.2022.0164 |