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Contact lenses following keratoplasty
W H Beekhuis1, G van Rij, F A Eggink
1Cornea and Contact Lens Services, Rotterdam Eye Hospital, The Netherlands.
Summary
Bandage contact lenses aid healing after keratoplasty (corneal transplant). Rigid gas permeable lenses correct vision issues like astigmatism in graft recipients, with methods for fitting discussed.
Area of Science:
- Ophthalmology
- Corneal Surgery
- Contact Lens Technology
Background:
- Bandage contact lenses (BCLs) are utilized post-keratoplasty to safeguard the ocular surface.
- BCLs play a role in promoting epithelial healing following corneal transplantation.
- Rigid gas permeable (RGP) contact lenses are essential for managing visual acuity post-keratoplasty.
Purpose of the Study:
- To evaluate the application of bandage contact lenses in post-keratoplasty care.
- To discuss the indications for rigid gas permeable contact lenses in keratoplasty patients.
- To describe the methodologies for fitting contact lenses on irregular graft surfaces.
Main Methods:
- Retrospective analysis of 77 keratoplasty patients fitted with contact lenses.
- Assessment of bandage contact lens use for ocular surface protection and healing.
- Evaluation of rigid gas permeable lens fitting techniques for irregular astigmatism and anisometropia correction.
Main Results:
- Bandage contact lenses effectively protected the ocular surface and promoted epithelial healing in keratoplasty patients.
- Rigid gas permeable lenses successfully corrected irregular astigmatism and anisometropia in the studied cohort.
- The study highlights successful contact lens fitting strategies for post-keratoplasty corneas.
Conclusions:
- Contact lenses, including BCLs and RGP lenses, are valuable tools in managing keratoplasty patients.
- Effective fitting methods are crucial for optimizing visual outcomes and ocular health after corneal grafts.
- The findings support the routine use of appropriate contact lenses in post-keratoplasty care.