Contact lens fitting difficulties following refractive surgery for high myopia. The CLAO journal : official publication of the Contact Lens Association of Ophthalmologists, Inc. [CLAO J] Journal article | | Title | Contact lens fitting difficulties following refractive surgery for high myopia. | | Author(s) | Bufidis T, Konstas AG, Pallikaris IG, Siganos DS, Georgiadis N | | Institution | Ophthalmologic Center of Northern Greece, Thessaloniki. | | Source | CLAO J 2000 Apr; 26(2):106-10. | | MeSH | Adult
Contact Lenses, Hydrophilic
Corneal Topography
Female
Humans
Keratectomy, Photorefractive, Excimer Laser
Keratomileusis, Laser In Situ
Keratotomy, Radial
Middle Aged
Myopia
Postoperative Complications
Prosthesis Fitting
Refraction, Ocular
Refractive Errors
Visual Acuity
| | Abstract | PURPOSE: To describe the clinical and optical problems encountered in contact lens fitting following refractive surgery for high myopia.
METHODS: Following refractive surgery for high myopia (greater than -10.00 D) we corrected residual refractive errors with contact lenses in the four eyes of two patients. The first patient had undergone bilateral laser in situ keratomileusis (LASIK),with two subsequent LASIK retreatments in the left eye. Ten months later she was fit with rigid gas permeable (RGP) lenses in both eyes. The second patient had undergone a clear lens extraction in the right eye and radial keratotomy followed by photorefractive keratectomy(PRK) in the left eye. She was fit with toric soft lenses six years postoperatively.
RESULTS: Final visual acuity obtained with contact lenses was 20/25-20/20 in all eyes. The first patient required significant minus lens power compensation. Furthermore, the RGP lens in the left eye was slightly decentered due to corneal irregularity induced by LASIK. The second patient had regular corneal surfaces and was successfully fit with daily wear toric soft lenses despite the 2.75 D of residual astigmatism in the left eye.
CONCLUSIONS: Following refractive surgery for high myopia a proportion of patients will remain undercorrected. In these patients the alterations in corneal architecture that ensue make contact lens fitting more challenging. Patients with regular astigmatism may be fitted successfully with toric soft lenses. Patients with corneal irregularities should be fit with RGP lenses. | | Language | eng | | Pub Type(s) | Case Reports
Journal Article
| | PubMed ID | 10810942 |
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