Topographical corneal oedema

Corneal thickness changes were monitored across the cornea in 10 subjects during 7 days continuous wear of 3 types of hydrogel contact lenses of different back vertex powers. Analysis of topographical corneal thickness changes indicates that the periphery of the cornea swells significantly less than the central cornea. The effect is more dramatic with higher levels of central corneal oedema, and with lenses of higher minus power, in spite of their thicker lens periphery. An anoxic stimulus was also found to produce greater central than peripheral corneal swelling, indicating that tear exchange under the periphery of the contact lens is not a significant factor in limiting peripheral corneal swelling. It was concluded that the topographical swelling profile is not contact lens-related, but reflects a reduced swelling capability of the peripheral cornea, due to physical restraint in the limbal region.