Wydanie 2/2004

Optyczne i terapeutyczne zastosowanie soczewek kontaktowych po przeszczepie rogówki

Optical And Therapeutic Contact Lens Application Folloving After Keratoplasty

Ewa Wróblewska-Czajka1, Edward Wylęgała1,2, Jarosław Piłat1, Bogusława Kaczor2

1Oddział Okulistyczny Okręgowego Szpitala Kolejowego w Katowicach
2Gabinet Okulistyczny w Bielsku-Białej
Kierownik: dr n. med. Edward Wylęgała B

Summary: The aim of our study is to present outcomes of contact lens fitting after keratoplasty in our material. Material Group of 60 patients (age from 17 to 86 years) included 21 patients with irregular astigmatism and UC VA from 0.01 to 0.4, 7 patients with high regular astigmatism and UC VA from 0.03 to 0.4 ? in this group RPG or toric soft contact lens were used; 17 patients with epithelial erosions, 7 with protruding sutures, 5 with leak and 3 with wound dehiscence ? in this group HEMA was used. The average time of observation was 3.5 yeats. We observed epithelial disorders after fluorescein dyeing, anterior chamber depth and we asked patients about comfort improvement. Outcomes Lens-corrected VA in a group of patients with irregular astigmatism ranged from 0.1 to 1.0, in a group with high, regular astigmatism from 0.2 to 1.0. In 13 cases we noted full epitelialization of the cornea. Anterior chamber depth stabilization was achieved in all cases of the wound leak ege and in two cases of the wound dehiscence. All patients with protruding sutures recorded comfort improvement. Complications were associated with bacterial (3 patients ) and fungal (one case) keratitis, corneal abrasion caused by mechanical impairment (5 patients wearing rigid lenses), and new vessels ingrowths ( 3 patients) Conclusion Contact lens fitting after keratoplasty is the important part of the post operative treatment.

Keywords: contact lens, keratoplasty, complications


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