Performance of Bandage Contact Lens in Patients Post-ocular Surgeries: A Systematic Literature Review

Abstract

This study systematically reviewed the performance of bandage contact lenses (BCL) such as lotrafilcon A, lotrafilcon B, senofilcon A, balafilcon A, and comfilcon A as postoperative treatment in different ocular surgeries. A systematic search of English and Chinese databases (from inception to December 2021) was conducted for studies reporting the efficacy of BCLs after ocular surgeries. Postoperative symptoms, corneal healing, and visual outcomes were studied. Overall, 38 studies were identified. Bandage contact lens was applied as a postoperative aid in corneal refractive, cataract, and vitrectomy surgeries. Most studies were on photorefractive keratectomy. Reduced postoperative symptoms were observed within 4 hr to 3 days, whereas re-epithelization of the cornea and healing was complete within 3 to 7 days after ocular surgeries except for vitrectomy. In a vitrectomy, greater comfort and improved corneal epithelium were observed on the seventh day after surgery. An improvement in dry eye symptoms was observed at 7 days with considerable benefits observed after 1 month of cataract surgery. These findings indicate that BCLs are effective for improving postoperative symptoms and facilitation of early visual rehabilitation with a wear time of 8 hr to 7 days depending on the type of ocular surgery.

Effects of Lotrafilcon A and Senofilcon A Bandage Contact Lenses on Visual Outcome and Ocular Comfort after Photorefractive Keratectomy (Effects of Two Different Bandage Contact Lens Following PRK)

“…There are numerous investigations conducted on the influence of silicon hydrogel BCLs, differing in material composition, on the healing process of corneal epithelial wounds as well as postoperative pain and ocular discomfort following PRK. However, there is a paucity of research on the impact of these lenses on visual rehabilitation [32,33]. Razmjoo et al reported that patients who received Senofilcon A contact lenses demonstrated significantly lower levels of pain than those who were fitted with Lotrafilcon A lenses across all three visit days (days 1, 3, and 5) following PRK with alcohol-assisted epithelial debridement; however, there were no significant differences in visual acuity and epithelial defect size between the two groups [33].…”