Abstract
Objectives
The study aimed to assess the possible effects of corneal cross-linking (CXL) on contact
lens (CL) fitting in patients with progressive keratoconus who initially had CL intolerance.
Methods
A retrospective review was performed of the medical records of patients who had stopped
CL wear due to discomfort prior to CXL and who were fitted with CLs after CXL. All
eyes were evaluated pre- and 1, 6, 12, 24 months postoperatively. Data collected included
pre- and post-CXL refraction, corneal topographic data, uncorrected visual acuity,
and best-corrected visual acuity (BCVA). CL comfort was evaluated using the Likert scale post-CXL.
Results
A total of 20 eyes from 14 patients were included in the study. Preoperative Kmax
values significantly decreased by 2.8 D at 6 months and by 4.1 D at 12 months after
CXL (p < 0.001 for both). CLs were prescribed on average 12 ± 2.5 months after CXL.
The mean duration of successful CL wear was 10.4 ± 2.8 months during the follow-up
period. Subjective CL comfort scores were satisfactory post-CXL.
Conclusion
CXL not only halts the progression of keratoconus but may also improve CL tolerance
by providing a more regular shaped cornea in these patients. Ongoing corneal topographic
changes in the late postoperative period after CXL may have a positive effect on CL
fitting.
Keywords
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Article info
Publication history
Published online: August 03, 2021
Accepted:
July 7,
2021
Received in revised form:
July 3,
2021
Received:
December 7,
2020
Identification
Copyright
© 2021 Published by Elsevier Ltd on behalf of British Contact Lens Association.
