Related Experiment Video
Updated: Jul 18, 2025

Author Spotlight: Advancements in Refractive Surgical Correction for Presbyopia and Exploring Postoperative Visual Acuity
Published on: September 20, 2024
Less Complex Contact Lens Required for a Patient With Keratoconus After Topography-Guided Photorefractive Keratectomy
Elizabeth H Roll1, John D Gelles, Peter S Hersh
1Department of Ophthalmology (E.H.R., J.D.G., P.S.H., S.A.G.), Rutgers-New Jersey Medical School, Newark, NJ; and Cornea and Laser Eye Institute-CLEI Center for Keratoconus (J.D.G., P.S.H., A.S.Y., B.S., S.A.G.), Teaneck, NJ.
Abstract:
In this report, we discuss contact lens (CL) fitting in a patient with a history of keratoconus (KC), before and after undergoing topography-guided photorefractive keratectomy (TG PRK). Before TG PRK, the patient failed multiple CL modalities and reported difficulty with his habitual CLs and inadequate spectacle-corrected visual acuity to perform his activities of daily living. In this case, a collaborative, comprehensive approach to visual management in a patient with KC was used, and after TG PRK was performed to improve his corneal contour and symmetry, our patient was fit with a standard soft CL and additionally had improved spectacle-corrected visual acuity.
Related Concept Videos
Angle Closure Glaucoma: Treatment
Open Angle Glaucoma: Treatment
Drugs such as carbonic anhydrase inhibitors, α2- and...
Focusing of Light in the Eye

