Contact lens rehabilitation following repaired corneal perforations

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• 作者：Jeewan S Titiyal (1)
  Rajesh Sinha (1)
  Namrata Sharma (1)
  V Sreenivas (1)
  Rasik B Vajpayee (1)
  
• 刊名：BMC Ophthalmology
• 出版年：2006
• 出版时间：December 2006
• 年：2006
• 卷：6
• 期：1
• 全文大小：453KB
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  17. The pre-publication history for this paper can be accessed here:ss="a-plus-plus">http://www.biomedcentral.com/1471-2415/6/11/prepub
  
• 作者单位：Jeewan S Titiyal (1)
  Rajesh Sinha (1)
  Namrata Sharma (1)
  V Sreenivas (1)
  Rasik B Vajpayee (1)
  
  1. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
  

文摘

Background Visual outcome following repair of post-traumatic corneal perforation may not be optimal due to presence of irregular keratometric astigmatism. We performed a study to evaluate and compare rigid gas permeable contact lens and spectacles in visual rehabilitation following perforating corneal injuries. Method Eyes that had undergone repair for corneal perforating injuries with or without lens aspiration were fitted rigid gas permeable contact lenses. The fitting pattern and the improvement in visual acuity by contact lens over spectacle correction were noted. Results Forty eyes of 40 patients that had undergone surgical repair of posttraumatic corneal perforations were fitted rigid gas permeable contact lenses for visual rehabilitation. Twenty-four eyes (60%) required aphakic contact lenses. The best corrected visual acuity (BCVA) of ?6/18 in the snellen's acuity chart was seen in 10 (25%) eyes with spectacle correction and 37 (92.5%) eyes with the use of contact lens (p < 0.001). The best-corrected visual acuity with spectacles was 0.20 ± 0.13 while the same with contact lens was 0.58 ± 0.26. All the patients showed an improvement of ?2 lines over spectacles in the snellen's acuity chart with contact lens. Conclusion Rigid gas permeable contact lenses are better means of rehabilitation in eyes that have an irregular cornea due to scars caused by perforating corneal injuries.