Our experience in optical correction of radial keratotomy consequences by scleral lenses. Clinical cases

Myagkov, A. V.; Ignatova, N V

doi:10.21516/2072-0076-2017-10-2-92-96

ROJ

2017

DOI: 10.21516/2072-0076-2017-10-2-92-96

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Our experience in optical correction of radial keratotomy consequences by scleral lenses. Clinical cases

A. V. Myagkov¹,

N V Ignatova²

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Cited by 3 publications

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On the question of progressive hyperopia correction after radial keratotomy

Аветисов¹,

Антонов²,

Mitichkina³

et al. 2020

Vestn. oftal'mol.

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Механизм формирования прогрессирующей гиперметропии в отдаленные сроки после проведения радиальной кератотомии (РК) связан с хирургическим воздействием, индивидуальными биомеханическими особенностями фиброзной оболочки глаза и их возрастными изменениями, а также нарушениями гидродинамики. При выборе метода коррекции прогрессирующей гиперметропии необходимо учитывать ряд особенностей этого вида индуцированных рефракционных нарушений: нестабильность и иррегулярность рефракции, сочетание с пресбиопией, возможность анизометропического компонента. Коррекция прогрессирующей гиперметропии после РК возможна с помощью очковых, контактных и интраокулярных линз. При этом необходимо учитывать и субъективный фактор-так называемую приверженность пациента рекомендуемому методу коррекции. Наиболее эффективной в функциональном плане является контактная коррекция с помощью склеральных жестких газопроницаемых линз, а при наличии выраженных помутнений хрусталика-интраокулярная коррекция.

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On the question of progressive hyperopia correction after radial keratotomy

Аветисов¹,

Антонов²,

Mitichkina³

et al. 2020

Vestn. oftal'mol.

View full text Add to dashboard Cite

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“OKVision® SMARTFIT™” Customizable Mini-Scleral Lenses Fitting Guide

Бакалова¹

2021

jour

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As of today, scleral lenses are the only optical rehabilitation method that provides high visual quality of vision for patients with irregular cornea. This fitting guide is aimed at helping ophthalmologists acquire professional knowledge in the field of fitting scleral lenses and suggest tactics for managing patients with irregular corneas.The workshop outlines indications for prescribing scleral lenses, describes the basic principles of lens parameters calculation and fitting, taking into account the patientspecific parameters of the eyes. In addition, guidelines for acquiring skills in assessing and changing the position of scleral lenses on the patient’s eye, using customization options, daily care, manipulations for inserting on and removing lenses, and further dispensary observation are given.Mastering the basic skills of calculation and fitting customized scleral lenses helps practitioners expand their areas of practice, enhance professional competitiveness and provide patients with high quality vision, even in the most difficult clinical cases.

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A Clinical Case of Fitting Scleral Lens for Correction of Pellucid Marginal Degeneration

Pyltsina

Bezbabnova

Selezneva

et al. 2021

jour

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Background. Pellucid Marginal Degeneration (PMD) is a rare bilateral degenerative corneal disease. It causes corneal ectasia with bilateral, clear, inferior (typically 4 o’clock to 8 o’clock), peripheral corneal thinning. It usually affects about 80% of corneal stroma, which leads to the corneal ectasia above the thinning area as well as provokes the irregular astigmatism and visual impairment that are difficult to correct. Purpose. To study the possibilities of correction and social rehabilitation in a patient with PMD wearing scleral lenses. Materials and methods. The study included a patient with PMD, signs of corneal dysfunction and narrow-angle subcompensated glaucoma in the right eye, and PMD of the cornea resulted in a corneal leukoma – terminal glaucoma in the left eye. In addition to standard ophthalmic methods, we performed corneal topography and optical coherence tomography (OCT). For intraocular pressure measurement, ICARE IOP tonometer was used in several areas of the intact peripheral cornea. Results. Prior to lens fitting, UCVA in the right eye amounted to 0.06. Scleral lens helped achieve a high visual acuity of 0.9–1.0. The lens was well-tolerated by the patient. Conclusion. Scleral lenses may be a good choice for patients with irregular cornea caused by corneal dystrophy. Not only they are easy to use and have a good visual effect, but they also help patients with social rehabilitation.

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Our experience in optical correction of radial keratotomy consequences by scleral lenses. Clinical cases

Cited by 3 publications

References 0 publications

On the question of progressive hyperopia correction after radial keratotomy

On the question of progressive hyperopia correction after radial keratotomy

“OKVision® SMARTFIT™” Customizable Mini-Scleral Lenses Fitting Guide

A Clinical Case of Fitting Scleral Lens for Correction of Pellucid Marginal Degeneration

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