2018, Number 4
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Rev Cub Oftal 2018; 31 (4)
Correction of keratoconus with highly eccentric microlenses
Ortega PE
Language: Spanish
References: 6
Page: 54-60
PDF size: 294.15 Kb.
ABSTRACT
The adaptation of contact lenses to treat advanced keratoconus is complex due to the great eccentricity of the apical area. The small diameter rigid contact lenses with parabolic or hyperbolic posterior curve (high eccentricity design) are an excellent choice for keratoconus with small diameter and highly elevated ectasias. It allows protecting the apical area of the cone and makes the adaptation of the lens more comfortable in those patients who do not require keratoplasty yet. The objective of this work is to show how an appropriate adaptation allows to retard or to avoid a surgery of high complexity for the patient.
REFERENCES
Davis R, Miller W. Staging ectatic diseases: A therapeutic approach. Contact Lens Spectr [Internet]. 2015 [citado 10 de noviembre de 2018];30:34-40. Disponible en: http://www.clspectrum.com/printarticle.aspx?articleID=113641
Ortega E. Interpretación de la topografía corneal y la adaptación de los lentes de contacto rigidos [Internet]. Editorial Universidad de la Salle; 2011 [citado 27 de noviembre de 2018]:142. Disponible en: https://www.librosyeditores.com/tiendalemoine/oftalmologia-y-optometria/111
Kovacich S. Irregular astigmatism. Contact Lens Spectr. 2009 [cited 2018 Jul 25]:46-8. Available from: http://www.clspectrum.com/printarticle.aspx?articleID=114053
Amsler M. Kératocõne classique et kératocône fruste; arguments unitaires. Ophthalmologica. 1946 [cited 2018 Jul 25];111(2–3):96-101. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20275788
Indovina K, Potter R. Eccentricity changes in GP lens design. Contact Lens Spectrum 2008 [cited 2018 Jul 27];8. Available from: http://www.clspectrum.com/articleviewer.aspx?articleID=101402
McGhee CNJ, Kim BZ, Wilson PJ. Contemporary treatment paradigms in keratoconus. Cornea. 2015;34:16-23.