The use of contact lenses in patients with prior bleb-forming glaucoma surgery
Abstract Background This study aims to investigate the success of contact lens (CL) wear in patients who have had bleb-forming glaucoma surgeries and to assess the rate of CL related complications. Methods Patients who received any type of CL services at an academic center and who had a bleb-forming...
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BMC
2025-05-01
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| Series: | BMC Ophthalmology |
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| Online Access: | https://doi.org/10.1186/s12886-025-04103-x |
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| author | Si Jie Tang Timothy Do Melissa Barnett Kaaryn Pederson Michele C. Lim |
| author_facet | Si Jie Tang Timothy Do Melissa Barnett Kaaryn Pederson Michele C. Lim |
| author_sort | Si Jie Tang |
| collection | DOAJ |
| description | Abstract Background This study aims to investigate the success of contact lens (CL) wear in patients who have had bleb-forming glaucoma surgeries and to assess the rate of CL related complications. Methods Patients who received any type of CL services at an academic center and who had a bleb-forming glaucoma surgery were identified by billing records over a 15-year period. Patients were included if they had CL fitting after bleb-forming surgery with follow-up ≥ 1 year. Information regarding patient demographics, type of bleb-forming surgery, type of CL, best corrected visual acuity (BCVA), length of follow-up, reasons for failure, and complications related to CL wear was collected. The primary outcome measure was successful CL wear for ≥ 1 year. Secondary outcome measures included complications, type of CL in success groups, reasons for CL failure, and visual acuity (VA). Results 39 eyes of 32 patients met the inclusion criteria (age, 6 months to 81 years). 20/39 eyes (51%) had successful CL wear for ≥ 1 year. No difference existed between the proportion of trabeculectomy or glaucoma drainage devices (GDD) in the CL success versus failure groups. Among the eyes that successfully wore CL, 5/20 (20%) had complications which included failed bleb, corneal edema, keratoconjunctivitis sicca, filamentary keratitis, corneal irritation, punctate epithelial keratitis, and epithelial abrasion. Within the CL failure group, one eye (1/19) developed an acute iritis directly related to CL wear. Rigid gas permeable lenses were more prevalent in the CL success group, whereas non-impression fitted scleral lenses were more prevalent in the CL failure group. At 1 year, no difference existed in BCVA for eyes that succeeded in wearing CLs and for those who did not. Conclusion More than half of individuals with bleb-forming glaucoma surgeries were able to continue CL wear 1 year after fitting, and rigid gas permeable lenses were the most common type of lens in the CL success group. Keratopathies were the most common type of complication recorded. |
| format | Article |
| id | doaj-art-3c78199f3b744838af19f4a1cf0e64ef |
| institution | DOAJ |
| issn | 1471-2415 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj-art-3c78199f3b744838af19f4a1cf0e64ef2025-08-20T03:09:35ZengBMCBMC Ophthalmology1471-24152025-05-012511910.1186/s12886-025-04103-xThe use of contact lenses in patients with prior bleb-forming glaucoma surgerySi Jie Tang0Timothy Do1Melissa Barnett2Kaaryn Pederson3Michele C. Lim4School of Medicine, University of CaliforniaSchool of Medicine, University of CaliforniaDepartment of Ophthalmology & Vision Sciences, University of CaliforniaDepartment of Ophthalmology & Vision Sciences, University of CaliforniaDepartment of Ophthalmology & Vision Sciences, University of CaliforniaAbstract Background This study aims to investigate the success of contact lens (CL) wear in patients who have had bleb-forming glaucoma surgeries and to assess the rate of CL related complications. Methods Patients who received any type of CL services at an academic center and who had a bleb-forming glaucoma surgery were identified by billing records over a 15-year period. Patients were included if they had CL fitting after bleb-forming surgery with follow-up ≥ 1 year. Information regarding patient demographics, type of bleb-forming surgery, type of CL, best corrected visual acuity (BCVA), length of follow-up, reasons for failure, and complications related to CL wear was collected. The primary outcome measure was successful CL wear for ≥ 1 year. Secondary outcome measures included complications, type of CL in success groups, reasons for CL failure, and visual acuity (VA). Results 39 eyes of 32 patients met the inclusion criteria (age, 6 months to 81 years). 20/39 eyes (51%) had successful CL wear for ≥ 1 year. No difference existed between the proportion of trabeculectomy or glaucoma drainage devices (GDD) in the CL success versus failure groups. Among the eyes that successfully wore CL, 5/20 (20%) had complications which included failed bleb, corneal edema, keratoconjunctivitis sicca, filamentary keratitis, corneal irritation, punctate epithelial keratitis, and epithelial abrasion. Within the CL failure group, one eye (1/19) developed an acute iritis directly related to CL wear. Rigid gas permeable lenses were more prevalent in the CL success group, whereas non-impression fitted scleral lenses were more prevalent in the CL failure group. At 1 year, no difference existed in BCVA for eyes that succeeded in wearing CLs and for those who did not. Conclusion More than half of individuals with bleb-forming glaucoma surgeries were able to continue CL wear 1 year after fitting, and rigid gas permeable lenses were the most common type of lens in the CL success group. Keratopathies were the most common type of complication recorded.https://doi.org/10.1186/s12886-025-04103-xContact lensGlaucomaGlaucoma surgeryTrabeculectomyGlaucoma drainage device |
| spellingShingle | Si Jie Tang Timothy Do Melissa Barnett Kaaryn Pederson Michele C. Lim The use of contact lenses in patients with prior bleb-forming glaucoma surgery BMC Ophthalmology Contact lens Glaucoma Glaucoma surgery Trabeculectomy Glaucoma drainage device |
| title | The use of contact lenses in patients with prior bleb-forming glaucoma surgery |
| title_full | The use of contact lenses in patients with prior bleb-forming glaucoma surgery |
| title_fullStr | The use of contact lenses in patients with prior bleb-forming glaucoma surgery |
| title_full_unstemmed | The use of contact lenses in patients with prior bleb-forming glaucoma surgery |
| title_short | The use of contact lenses in patients with prior bleb-forming glaucoma surgery |
| title_sort | use of contact lenses in patients with prior bleb forming glaucoma surgery |
| topic | Contact lens Glaucoma Glaucoma surgery Trabeculectomy Glaucoma drainage device |
| url | https://doi.org/10.1186/s12886-025-04103-x |
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