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Farid Afshar, Ken Pullum, Linda Ficker; Scleral Contact Lenses in the Management of Corneal Transplant Patients and Keratoconus. Invest. Ophthalmol. Vis. Sci. 2012;53(14):4716.
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© ARVO (1962-2015); The Authors (2016-present)
To report our experience of scleral contact lenses in the management of keratoconus and corneal transplant (CT) patients.
Retrospective review of 612 patients managed with scleral contact lenses (ScCL) at Moorfields Eye hospital, United Kingdom.
860 eyes of 612 patients were included in the study. Mean age of patients was 56 years. 81.4% of eyes were post penetrating keratoplasty and 17.9% of eyes had keratoconusIn the keratoconus group (n=160) the mean unaided visual acuity (VA) was 2/60. With ScCL the mean VA improved to 6/11 with 75% patients achieving VA ≥6/12, and 23.8% achieving VA ≥6/6.In the CT group (n = 700) mean unaided VA was 3/60. Mean VA improved to 6/10 with ScCL with 81.9% achieving VA ≥6/12 and 37.9% achieving VA ≥6/6.
Scleral contact lenses can lead to significant improvements in visual acuity and are a useful tool in the management of keratoconus and corneal transplant patients.
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