Abstract | OBJECTIVES: To study the effects of corneal scars and the treatment of these scars with rigid gas-permeable (RGP) contact lenses on quality of vision including straylight. Visual effects were related to scar characteristics such as size and grade. METHODS: Straylight and best-corrected visual acuity were measured in 23 patients with corneal scars during and after RGP contact lens wear. Contralateral eyes were used as controls, and age-normal values in case of bilateral scars. Straylight measurements were performed using the compensation comparison method of the Oculus C-Quant instrument. RESULTS: Scarred eye straylight values were 1.53 log(s) without contact lens and 1.60 log(s) with contact lens (P=0.043). Healthy eyes without contact lens had a mean straylight value of 1.13 log(s), corresponding to age-normal values. Contact lens wear increased straylight in healthy eyes to 1.26 log(s) (P<0.001). Visual acuity improved from 0.66 logarithm of minimal angle of resolution (logMAR) to 0.19 logMAR with contact lens wear in eyes with a corneal scar (P<0.001). CONCLUSIONS:
Corneal scars can have a strong effect on quality of vision by diminishing visual acuity and increasing straylight. The increase in straylight from corneal scars on its own can lead to a serious visual handicap. Contact lens treatment did not improve straylight, but showed a slight worsening. As the recovery of visual acuity with contact lens wear far exceeded straylight increase, contact lenses remain a clinically useful treatment option in most patients with corneal scars.
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Authors | Bram de Jong, Ivanka J E van der Meulen, Johannes M J van Vliet, Ruth Lapid-Gortzak, Carla P Nieuwendaal, Thomas J T P van den Berg |
Journal | Eye & contact lens
(Eye Contact Lens)
Vol. 44 Suppl 1
Pg. S216-S220
(Sep 2018)
ISSN: 1542-233X [Electronic] United States |
PMID | 28328724
(Publication Type: Journal Article)
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Topics |
- Adolescent
- Adult
- Aged
- Child
- Contact Lenses
- Cornea
(pathology)
- Corneal Injuries
(physiopathology, therapy)
- Female
- Humans
- Male
- Middle Aged
- Prognosis
- Trauma Severity Indices
- Visual Acuity
- Young Adult
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