Contact Lens & Anterior Eye
Volume 30, Issue 1 , Pages 67-70, March 2007

Reverse geometry contact lens fitting in corneal scar caused by perforating corneal injuries

  • Raul Martin

      Affiliations

    • IOBA-Eye Institute and School of Optometry, Department of Physics TAO, University of Valladolid, Valladolid, Spain
    • Corresponding Author InformationCorresponding author at: IOBA C/Ramón y Cajal, 747005 Valladolid, Spain. Tel.: +34 983 423559; fax: +34 983 423274.
    • ,
  • Victoria de Juan

      Affiliations

    • IOBA-Eye Institute, University of Valladolid, Valladolid, Spain

published online 27 December 2006.

Abstract 

Purpose

To describe a reverse geometry rigid gas permeable (RGP) contact lens fitting in corneal scar caused by perforating corneal injuries with intraocular strange body.

Methods

A reverse geometry RGP lens, with large diameter, was empirically fitted in a 38-year-old male patient who had previous open globe injuries due to work accident in right eye. Corneal suture, vitrectomy and lens extraction were performed. Irregular corneal surface with corneal scar in line with the visual axis were found with low uncorrected visual acuity.

Results

Snellen visual acuity improved from counterfinger to 0.8 with high contact lens acceptance, 6–9h per day of wear. Only three diagnostic contact lenses, in two visits, were necessary. Orbscan simulated fluorescein pattern was different to definitive fluorescein pattern.

Conclusions

Reverse geometry RGP contact lens, with large diameters, could be a good alternative in irregular corneal surface with corneal scar. Fluorescein pattern analysis could be the proper fitting technique. This fitting could involve less time and fewer visits. Computer-aided fitting was of limited value in these cases.

Keywords: Eye injuries, Contact lenses, Corneal topography, Corneal scar

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PII: S1367-0484(06)00156-1

doi:10.1016/j.clae.2006.11.001

Contact Lens & Anterior Eye
Volume 30, Issue 1 , Pages 67-70, March 2007

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