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Contact lenses after corneal lacerations
S Boghani1, E J Cohen, S Jones-Marioneaux
1Cornea Service, Wills Eye Hospital, Philadelphia, PA 19107.
Summary
Contact lenses can restore vision for most patients with traumatic corneal lacerations, improving visual acuity significantly. However, fitting these complex cases requires expertise and can be time-consuming.
Area of Science:
- Ophthalmology
- Corneal Surgery
- Contact Lens Technology
Background:
- Traumatic corneal lacerations often result in significant visual impairment.
- Aphakia is a common complication following such injuries, necessitating visual rehabilitation.
Purpose of the Study:
- To evaluate the success rate and visual outcomes of contact lens fitting in patients with traumatic corneal lacerations.
- To identify factors influencing successful contact lens wear in this patient population.
Main Methods:
- Retrospective analysis of 30 eyes (28 patients) fitted with contact lenses post-corneal laceration.
- Assessment of visual acuity, lens type (rigid gas permeable vs. soft), and reasons for failure.
- Correlation of fitting success with laceration size and location.
Main Results:
- Successful contact lens wear was achieved in 73% of eyes, with 83% achieving visual acuity of 20/40 or better.
- Rigid gas permeable lenses were used in 43% and soft contact lenses in 57% of successful fits.
- Small lacerations (<3 mm) and central large lacerations had higher success rates than peripheral large lacerations. Common failure reasons included intolerance and diplopia.
Conclusions:
- Contact lenses are a viable option for visual rehabilitation in the majority of patients with traumatic corneal lacerations.
- Successful fitting is dependent on laceration characteristics and patient factors, presenting a challenging clinical scenario.
- Close monitoring is essential due to potential complications like late retinal detachments.