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Soft lens therapy for recurrent erosion syndrome
Annals of Ophthalmology
|July 1, 1978
Summary
Soft contact lenses offer relief for recurrent corneal erosion syndrome, particularly for spontaneous cases and those with anterior membrane dystrophies. Some patients experienced reduced pain and improved vision.
Area of Science:
- Ophthalmology
- Corneal Diseases
- Ophthalmic Devices
Background:
- Recurrent corneal erosion syndrome (RCES) is a debilitating condition causing significant ocular pain and visual disturbance.
- Previous treatments for RCES have variable success rates, necessitating exploration of alternative therapeutic options.
Purpose of the Study:
- To evaluate the efficacy of soft contact lenses in managing previously unrelieved recurrent corneal erosion syndrome.
- To identify patient subgroups that respond best or poorly to soft contact lens therapy for RCES.
Main Methods:
- A cohort of 25 patients (33 eyes) with RCES, refractory to prior treatments, were fitted with soft contact lenses.
- Patient outcomes were categorized based on improvement levels: marked, moderate, or no improvement.
Main Results:
- Soft contact lens therapy resulted in marked improvement in 16 eyes and moderate improvement in 6 eyes.
- Patients with spontaneous RCES and visible anterior membrane dystrophies showed the best response.
- Patients with posttraumatic RCES or RCES associated with aphakic corneal edema had poorer outcomes.
Conclusions:
- Soft contact lenses are a viable treatment option for select patients with recurrent corneal erosion syndrome.
- Therapeutic contact lenses can reduce pain episodes and minor irritation, potentially improving vision in responsive RCES patients.