Visual Rehabilitation With Contact Lenses Following Open Globe Trauma

Scanzera, Angelica C.; Dunbar, Grace E.; Shah, V. P.; Cortina, María Soledad; Leiderman, Yannek I.; Shorter, Ellen

doi:10.1097/icl.0000000000000756

Cited by 8 publications

(6 citation statements)

References 23 publications

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“…Studies have shown that a variety of contact lenses can be used effectively for visual rehabilitation after ocular trauma. 5 However, in China, most doctors and parents will not choose soft contact lenses for children, and scleral lenses are not approved for clinical use. Rigid gas-permeable keratocontact lenses are approved for clinical use in pediatric patients for the control of axial myopia, refractive correction of aphakic eyes after congenital cataract surgery, or other reasons.…”

Section: Discussionmentioning

confidence: 99%

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Rigid Gas-Permeable Contact Lens for Visual Rehabilitation in Children Younger Than 12 Years With Penetrative Ocular Trauma

Yang

Lyu

2023

Eye &Amp; Contact Lens: Science &Amp; Clinical Practice

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Objectives: To observe the clinical outcomes of visual rehabilitation using rigid gas-permeable contact lenses (RGPCLs) after penetrative ocular trauma in children younger than 12 years in China. Methods: Patients younger than 12 years with penetrative ocular trauma fitted with an RGPCL for visual rehabilitation from 2017 to 2021 were included. In the case cohort, the best-corrected visual acuity (BCVA) with spectacles was measured when the RGPCL was fitted, and the initial BCVA with RGPCL, and the BCVA at the last visit were compared. Results: Fifteen patients, aged 4 to 12 (mean 8.0±2.7) years, who wore an RGPCL for 7 to 53 (mean 20.3±15.7) months, were included. The BCVA was log of minimal angle of resolution 0.4 (0.2–0.7) with spectacles and 0.1 (0.1–0.2) for RGPCL at the initial visit, and 0.0 (0.0–0.1) for BCVA at the last visit, with a statistically significant difference between the three comparisons (P<0.001). Six of the 15 (40%) children abandoned wearing RGPCL because of discomfort and lens rejection (n=3, 50%), lens loss and inability to replace broken lens because of travel distances and epidemics (n=2, 33%), and cost (n=1, 17%). Conclusions: Although application is complicated and initial wearing comfort is poor, an RGPCL is still a beneficial, safe tool for postoperative visual rehabilitation in children with open ocular trauma.

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Section: Discussionmentioning

confidence: 99%

“… 2 In the past few decades, visual rehabilitation of corneal scarring after corneal laceration has been treated by procedures such as corneal transplantation and contact lens correction. 3 – 5 Because of the good correction effects, rigid gas-permeable contact lenses (RGPCLs) are increasingly used for refractive correction after corneal trauma. 6 …”

mentioning

confidence: 99%

Rigid Gas-Permeable Contact Lens for Visual Rehabilitation in Children Younger Than 12 Years With Penetrative Ocular Trauma

Yang

Lyu

2023

Eye &Amp; Contact Lens: Science &Amp; Clinical Practice

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“…Most patients have an improvement in visual acuity following repair and management. [77][78][79] Final visual acuity after OGIs is better than 20/40 in up to 39% of patients, and only 9% of patients are likely to have no light perception. 74 Despite improvements in ocular surgery technique and technology, visual outcomes remain consistent with the OTS since its inception in 2002.…”

Section: Prognosismentioning

confidence: 99%

Open Globe Injuries: Review of Evaluation, Management, and Surgical Pearls

Zhou¹,

DiSclafani²,

Jeang³

et al. 2022

OPTH

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Ocular trauma may either be closed globe or open globe. Open globe injuries are full-thickness defects of the eyewall and are often differentiated by the mechanisms of injury from which they are caused: sharp or blunt trauma. They are ocular emergencies and can lead to substantial visual morbidity. Without timely intervention, damage is irreversible and leads to permanent vision loss. The goals of evaluation are to identify the mechanism of injury, characterize the extent of injury, and gather relevant history. If an open globe is suspected, ophthalmologic consultation should be requested. Once an open globe is diagnosed, preparations for surgery should be made immediately and steps should be taken to avoid further injury. Intraocular infection risk is relatively high, requiring immediate empiric systemic antibiotics. Emergent surgical exploration and primary closure is indicated whenever possible. After initial closure, secondary surgery and revision may be needed to improve vision outcomes, followed by extensive follow-up. In this review, best practices for evaluation and management are reviewed, with particular focus on the surgical approach and techniques.

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“…Representative techniques include anterior chamber IOL implantation, iris-fixed IOL implantation and trans-scleral fixed posterior chamber IOL implantation with or without suture [ 7 – 9 ]. The other approach is to apply contact lenses in a patient with aphakia [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Single‑pass four‑throw versus traditional knotting pupilloplasty for traumatic mydriasis combined with lens dislocation

Shen

Liu

et al. 2023

BMC Ophthalmol

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Purpose To compare the use of single‑pass four‑throw (SFT) and traditional double-pass two-throw knotting (DTT) techniques in pupilloplasty for traumatic mydriasis combined with lens dislocation, and to evaluate the learning curve between the two knotting techniques by wet lab. Method The eyes of 45 patients (45 eyes) were divided into two groups according to the knotting technique used: single‑pass four‑throw (22 eyes) or traditional double-pass-two-throw knotting (23 eyes). Combined phacoemulsification and pupilloplasty with pars plana vitrectomy were performed in traumatic mydriasis patients with lens dislocation. Preoperative and postoperative corrected distance visual acuity (CDVA), pupil diameter, intraocular pressure (IOP), pupilloplasty time, and complications were compared. Twenty ophthalmology residents were randomized to perform a pupilloplasty suturing exam with or without SFT knotting techniques in porcine eyes. Result All cases had a minimum follow‑up period of 6 months (range 6–12 months). There was no significant difference in the CDVA (P = 0.55), postoperative pupil diameter (P = 0.79), IOP (P > 0.05), anterior chamber exudate degree, and loosening or shedding of the line knot between the two groups. The duration of the pupilloplasty was 22.32 ± 4.58 min in the SFT group and 30.35 ± 5.55 min in the traditional group, which was a significant difference (P < 0.01). The residents in the SFT group had higher test scores and fewer surgical mistakes (P < 0.05). Conclusion The SFT knotting technique has a similar treatment effect and safety as the traditional technique but requires a shorter time and is easier to perform in pupilloplasty surgery.

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Visual Rehabilitation With Contact Lenses Following Open Globe Trauma

Cited by 8 publications

References 23 publications

Rigid Gas-Permeable Contact Lens for Visual Rehabilitation in Children Younger Than 12 Years With Penetrative Ocular Trauma

Rigid Gas-Permeable Contact Lens for Visual Rehabilitation in Children Younger Than 12 Years With Penetrative Ocular Trauma

Open Globe Injuries: Review of Evaluation, Management, and Surgical Pearls

Single‑pass four‑throw versus traditional knotting pupilloplasty for traumatic mydriasis combined with lens dislocation

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