Contact lenses for visual rehabilitation in post-keratoplasty eyes: A review
To assess the role of various types of contact lenses (CL) after penetrating and lamellar keratoplasty, we reviewed all studies that were related to CL fitting in post-keratoplasty (full-thickness and lamellar) eyes between 1990 and 2024 by using relevant search keywords. The demographic data, indic...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-06-01
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| Series: | Indian Journal of Ophthalmology |
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| Online Access: | https://journals.lww.com/10.4103/IJO.IJO_2394_24 |
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| author | Mohamed Ibrahime Asif Nidhi Kalra Manasi Tripathi Mrinalini Anand Yadav Shahnaz Anjum Rajesh Sinha |
| author_facet | Mohamed Ibrahime Asif Nidhi Kalra Manasi Tripathi Mrinalini Anand Yadav Shahnaz Anjum Rajesh Sinha |
| author_sort | Mohamed Ibrahime Asif |
| collection | DOAJ |
| description | To assess the role of various types of contact lenses (CL) after penetrating and lamellar keratoplasty, we reviewed all studies that were related to CL fitting in post-keratoplasty (full-thickness and lamellar) eyes between 1990 and 2024 by using relevant search keywords. The demographic data, indications for CL fitting, duration between keratoplasty and CL fitting, CL design and fitting methodologies, refractive outcomes, topographic and biomechanical changes, aberrometry, specular microscopy, corneal thickness, graft survival, and complications were analyzed. A total of 32 original studies and seven case reports were evaluated. All studies showed favorable refractive outcomes. Complications, if any, were managed successfully with conservative treatment and temporary discontinuation of lens wear. Most authors preferred to use large-diameter multicurve rigid-gas permeable lenses and scleral lenses over hydrogels and hybrid or piggy-back varieties, with an inclination toward late fitting due to multiple factors. The lenses did not have any adverse effect on graft survival. CLs are a useful tool in post-keratoplasty visual rehabilitation. However, patients require meticulous workup, a thorough fitting methodology, attention to associated problems, and close follow-up to monitor for complications. |
| format | Article |
| id | doaj-art-8eed5e993b764b979c4642c8e5b9efd5 |
| institution | DOAJ |
| issn | 0301-4738 1998-3689 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj-art-8eed5e993b764b979c4642c8e5b9efd52025-08-20T02:43:28ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892025-06-0173Suppl 3S369S38310.4103/IJO.IJO_2394_24Contact lenses for visual rehabilitation in post-keratoplasty eyes: A reviewMohamed Ibrahime AsifNidhi KalraManasi TripathiMrinalini Anand YadavShahnaz AnjumRajesh SinhaTo assess the role of various types of contact lenses (CL) after penetrating and lamellar keratoplasty, we reviewed all studies that were related to CL fitting in post-keratoplasty (full-thickness and lamellar) eyes between 1990 and 2024 by using relevant search keywords. The demographic data, indications for CL fitting, duration between keratoplasty and CL fitting, CL design and fitting methodologies, refractive outcomes, topographic and biomechanical changes, aberrometry, specular microscopy, corneal thickness, graft survival, and complications were analyzed. A total of 32 original studies and seven case reports were evaluated. All studies showed favorable refractive outcomes. Complications, if any, were managed successfully with conservative treatment and temporary discontinuation of lens wear. Most authors preferred to use large-diameter multicurve rigid-gas permeable lenses and scleral lenses over hydrogels and hybrid or piggy-back varieties, with an inclination toward late fitting due to multiple factors. The lenses did not have any adverse effect on graft survival. CLs are a useful tool in post-keratoplasty visual rehabilitation. However, patients require meticulous workup, a thorough fitting methodology, attention to associated problems, and close follow-up to monitor for complications.https://journals.lww.com/10.4103/IJO.IJO_2394_24astigmatismcontact lensescorneal transplantationkeratoconuskeratoplastylamellarpenetrating |
| spellingShingle | Mohamed Ibrahime Asif Nidhi Kalra Manasi Tripathi Mrinalini Anand Yadav Shahnaz Anjum Rajesh Sinha Contact lenses for visual rehabilitation in post-keratoplasty eyes: A review Indian Journal of Ophthalmology astigmatism contact lenses corneal transplantation keratoconus keratoplasty lamellar penetrating |
| title | Contact lenses for visual rehabilitation in post-keratoplasty eyes: A review |
| title_full | Contact lenses for visual rehabilitation in post-keratoplasty eyes: A review |
| title_fullStr | Contact lenses for visual rehabilitation in post-keratoplasty eyes: A review |
| title_full_unstemmed | Contact lenses for visual rehabilitation in post-keratoplasty eyes: A review |
| title_short | Contact lenses for visual rehabilitation in post-keratoplasty eyes: A review |
| title_sort | contact lenses for visual rehabilitation in post keratoplasty eyes a review |
| topic | astigmatism contact lenses corneal transplantation keratoconus keratoplasty lamellar penetrating |
| url | https://journals.lww.com/10.4103/IJO.IJO_2394_24 |
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