Fitting Tips and Visual Rehabilitation of Irregular Cornea with a New Design of Corneoscleral Contact Lens: Objective and Subjective Evaluation

Objectives. To study the fitting and the visual rehabilitation obtained with a corneoscleral contact lens, namely, Rose K2 XL in patients with irregular cornea. Methods. This prospective study included 36 eyes of 36 patients with irregular cornea fitted with Rose K2 XL. Refractive and visual outcome...

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Main Authors: Waleed Ali Abou Samra, Amani E. Badawi, Hanem Kishk, Ayman Abd El ghafar, Mohamed M. Elwan, Hossam Youssef Abouelkheir
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2018/3923170
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author Waleed Ali Abou Samra
Amani E. Badawi
Hanem Kishk
Ayman Abd El ghafar
Mohamed M. Elwan
Hossam Youssef Abouelkheir
author_facet Waleed Ali Abou Samra
Amani E. Badawi
Hanem Kishk
Ayman Abd El ghafar
Mohamed M. Elwan
Hossam Youssef Abouelkheir
author_sort Waleed Ali Abou Samra
collection DOAJ
description Objectives. To study the fitting and the visual rehabilitation obtained with a corneoscleral contact lens, namely, Rose K2 XL in patients with irregular cornea. Methods. This prospective study included 36 eyes of 36 patients with irregular cornea fitted with Rose K2 XL. Refractive and visual outcomes and mesopic and aberrometric parameters of fitted eyes were assessed at 2 weeks, 3 months, and 6 months after the initial lens use. Objective and subjective parameters of patient satisfaction and lens comfort were noted. Causes of lens discontinuation and complications were also recorded. Results. Average logMAR VA improved significantly from 0.95 ± 0.09 without correction to 0.04 ± 0.05 six months after lens wear. Similarly, mesopic and aberrometric measures were significantly improved. Statistical analysis of the subjective patients’ responses showed a significant acceptance of the lens by most of them. At the end of follow-up, the mean wearing time was 9.9 ± 2.9 hours per day. The most common cause of wearing discontinuation was persistent discomfort (16.7%) and high lens expenses(16.7%). Self-assessed questionnaire showed statistically significant improvement in nearly all measured subjective parameters. Conclusion. Rose K2 XL lenses provide patients with irregular cornea with both quantitative and qualitative optimal visual function with high degree of patient comfort and satisfaction.
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institution Kabale University
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series Journal of Ophthalmology
spelling doaj-art-83283e43a68d4f60ba795436f3d2622d2025-02-03T01:30:00ZengWileyJournal of Ophthalmology2090-004X2090-00582018-01-01201810.1155/2018/39231703923170Fitting Tips and Visual Rehabilitation of Irregular Cornea with a New Design of Corneoscleral Contact Lens: Objective and Subjective EvaluationWaleed Ali Abou Samra0Amani E. Badawi1Hanem Kishk2Ayman Abd El ghafar3Mohamed M. Elwan4Hossam Youssef Abouelkheir5Mansoura Ophthalmology Center, Mansoura University, Mansoura, EgyptMansoura Ophthalmology Center, Mansoura University, Mansoura, EgyptMansoura Ophthalmology Center, Mansoura University, Mansoura, EgyptMansoura Ophthalmology Center, Mansoura University, Mansoura, EgyptMansoura Ophthalmology Center, Mansoura University, Mansoura, EgyptMansoura Ophthalmology Center, Mansoura University, Mansoura, EgyptObjectives. To study the fitting and the visual rehabilitation obtained with a corneoscleral contact lens, namely, Rose K2 XL in patients with irregular cornea. Methods. This prospective study included 36 eyes of 36 patients with irregular cornea fitted with Rose K2 XL. Refractive and visual outcomes and mesopic and aberrometric parameters of fitted eyes were assessed at 2 weeks, 3 months, and 6 months after the initial lens use. Objective and subjective parameters of patient satisfaction and lens comfort were noted. Causes of lens discontinuation and complications were also recorded. Results. Average logMAR VA improved significantly from 0.95 ± 0.09 without correction to 0.04 ± 0.05 six months after lens wear. Similarly, mesopic and aberrometric measures were significantly improved. Statistical analysis of the subjective patients’ responses showed a significant acceptance of the lens by most of them. At the end of follow-up, the mean wearing time was 9.9 ± 2.9 hours per day. The most common cause of wearing discontinuation was persistent discomfort (16.7%) and high lens expenses(16.7%). Self-assessed questionnaire showed statistically significant improvement in nearly all measured subjective parameters. Conclusion. Rose K2 XL lenses provide patients with irregular cornea with both quantitative and qualitative optimal visual function with high degree of patient comfort and satisfaction.http://dx.doi.org/10.1155/2018/3923170
spellingShingle Waleed Ali Abou Samra
Amani E. Badawi
Hanem Kishk
Ayman Abd El ghafar
Mohamed M. Elwan
Hossam Youssef Abouelkheir
Fitting Tips and Visual Rehabilitation of Irregular Cornea with a New Design of Corneoscleral Contact Lens: Objective and Subjective Evaluation
Journal of Ophthalmology
title Fitting Tips and Visual Rehabilitation of Irregular Cornea with a New Design of Corneoscleral Contact Lens: Objective and Subjective Evaluation
title_full Fitting Tips and Visual Rehabilitation of Irregular Cornea with a New Design of Corneoscleral Contact Lens: Objective and Subjective Evaluation
title_fullStr Fitting Tips and Visual Rehabilitation of Irregular Cornea with a New Design of Corneoscleral Contact Lens: Objective and Subjective Evaluation
title_full_unstemmed Fitting Tips and Visual Rehabilitation of Irregular Cornea with a New Design of Corneoscleral Contact Lens: Objective and Subjective Evaluation
title_short Fitting Tips and Visual Rehabilitation of Irregular Cornea with a New Design of Corneoscleral Contact Lens: Objective and Subjective Evaluation
title_sort fitting tips and visual rehabilitation of irregular cornea with a new design of corneoscleral contact lens objective and subjective evaluation
url http://dx.doi.org/10.1155/2018/3923170
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