+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
EurekaMag Most Shared ContentMost Shared
EurekaMag PDF Full Text ContentPDF Full Text
+ PDF Full Text
Request PDF Full TextRequest PDF Full Text
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter
Follow on Google+Follow on Google+
Follow on LinkedInFollow on LinkedIn

+ Translate

Extended wear aphakic contact lens fitting in high risk patients

CLAO Journal 11(3): 231-233
Extended wear aphakic contact lens fitting in high risk patients
Experience with extended wear (EW) hydrogel contact lenses for aphakia was reviewed. Patients with poor cooperation, blepharitis, tear film abnormalities, or dry eyes were not excluded from contact lens fitting. The rate of success with soft contact lenses (follow-up minimum of 6 mo.) was 86%, with 94% of patients achieving a visual acuity of 20/40 or better. Two factors may have contributed to this result: the relative lack of high expectations allowed continuous wear when minor problems occurred; the lenses were handled only minimally by the patient, as they most often returned to the office for cleaning and replacement. The most common complications were tight lens syndrome and corneal ulcers. Although abandoning patient selection before fitting contact lenses is not advocated, negative factors should not necessarily dissuade one from fitting EW hydrogel lenses. This is particularly important in those cases where some contraindications to intraocular lenses also exist.

Accession: 005432699

PMID: 3862467

Related references

Changes in the corneal endothelium of aphakic patients following extended soft contact lens wear. Kawasaki Medical Journal 15(3-4): 105-112, 1989

Corneal endothelial changes associated with aphakic extended contact lens wear. Archives of Ophthalmology 106(1): 70-72, 1988

Fungus deposit on extended wear contact lens in an aphakic subject. Rinsho Ganka 42(2): 84-85, 1988

A case of sterile endophthalmitis associated with the extended-wear of an aphakic soft contact lens. Contact and Intraocular Lens Medical Journal 7(1): 5-7, 1981

Bausch & Lomb CW 79 aphakic extended wear contact lens: long-term follow-up. Clao Journal 23(1): 78-80, 1997

Bausch and lomb cw 79 aphakic extended wear contact lens multi year follow up. CLAO Journal 15(3): 212-214, 1989

Bausch & Lomb CW 79 aphakic extended wear contact lens: multi-year follow-up. Clao Journal 15(3): 212-214, 1989

Bausch and Lomb CW79 aphakic extended wear contact lens: Long-term follow-up. CLAO Journal 23(1): 78-80, 1997

The corneal epithelial changes with extended wear aphakic soft contact lens specular microscopic observation. Investigative Ophthalmology & Visual Science 32(4): 730, 1991

Ocular surface sensitivity following discontinuation of low dk extended contact lens wear and refitting with high dk extended wear. ARVO Annual Meeting Abstract Search & Program Planner : Abstract No 3705, 2003