Visual Rehabilitation With Contact Lenses Following Open Globe Trauma

Area of Science:

• Ophthalmology
• Corneal Disease
• Trauma Surgery

Background:

• Open globe injuries require surgical repair and can lead to significant visual impairment.
• Contact lens rehabilitation is crucial for restoring vision in patients with ocular sequelae post-trauma.

Purpose of the Study:

• To evaluate the visual outcomes associated with different contact lens modalities in patients following open globe repair.
• To identify the efficacy of contact lenses in managing visual deficits caused by ocular trauma.

Main Methods:

• Retrospective review of patients undergoing open globe repair between 2010 and 2016.
• Assessment of visual acuity before and after contact lens fitting, noting indications for lens wear.

Main Results:

• Visual acuity improved in 97% of patients (28/29) fitted with contact lenses after open globe repair.
• Corneal opacity and aphakia were primary indications for contact lens fitting.
• Various contact lens types, including rigid gas-permeable, soft, hybrid, and scleral, were utilized.

Conclusions:

• Contact lens wear offers substantial visual acuity improvement in patients with open globe repair history and good visual potential.
• Soft and gas-permeable lenses are effective for visual rehabilitation in cases of corneal scarring, aphakia, and iris abnormalities.
• While rigid gas-permeable lenses are common, other modalities like soft, hybrid, and scleral lenses should be considered for optimal outcomes.