Effects of rigid high gas-permeable contact lens wear on progression in patient with keratoconus

Wearing Rigid High Gas-Permeable Contact Lens (RGPCL) is a primary method of vision rehabilitation in keratoconus eyes. The aim of the study is to investigate the effects of using RGPCL on the topographical variations at the keratoconus progress. All patients had undergone ophthalmic examination inc...

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Main Authors: Tolga Yilmaz, Ahu Yilmaz, Feyza Altin, Ferah Ozcelik
Format: Article
Language:English
Published: Society of Turaz Bilim 2022-12-01
Series:Medicine Science
Subjects:
Online Access:http://www.ejmanager.com/fulltextpdf.php?mno=111655
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author Tolga Yilmaz
Ahu Yilmaz
Feyza Altin
Ferah Ozcelik
author_facet Tolga Yilmaz
Ahu Yilmaz
Feyza Altin
Ferah Ozcelik
author_sort Tolga Yilmaz
collection DOAJ
description Wearing Rigid High Gas-Permeable Contact Lens (RGPCL) is a primary method of vision rehabilitation in keratoconus eyes. The aim of the study is to investigate the effects of using RGPCL on the topographical variations at the keratoconus progress. All patients had undergone ophthalmic examination including corneal topography, and their medical history and keratoconus characteristics were documented. Fifty-one eyes of those who wore RGPCL without any problems and 42 eyes of those who did not wear any lenses were evaluated retrospectively. It was accepted that the follow-up period was terminated when patients received any treatment or change lenses. The mean follow-ups were 36.5±12.7 and 38.4±14.6 months in the control and lens-wearing samples, respectively. The changes in topographic indices were compared from the baseline to the final visit. The difference between spectacle-best corrected visual acuity was not significant in both groups from baseline to final visit (p>0.05). In the RGPCL wearing group, apical keratometric power ( Kmax ) increased from mean 51.86±3.70 diopter (D) to 52.54±3.85 D at the sagittal map in the following period, but this difference was not significant (p>0.05). Similarly, in the control group, Kmax increased from mean 52.14±2.51 D to 52.94±3.02 D, and this difference was not significant (p>0.05). Lens-wearing and control group mean keratometry values increased from 47.36±1.7 D and 47.17±1.65 D to 47.94±2.05 D and 47.74±1.76 D, respectively (p>0.05). Pachymetry at the thinnest corneal point decreased significantly in both groups from baseline to final visit (p=0.008, p=0.01). In conclusion, the comfortable usage of RGPCL has no effect on the progression of keratoconus. [Med-Science 2022; 11(4.000): 1630-4]
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spelling doaj.art-712752717eb148e49708707258ec42842024-02-03T05:37:15ZengSociety of Turaz BilimMedicine Science2147-06342022-12-011141630410.5455/medscience.2022.09.205111655Effects of rigid high gas-permeable contact lens wear on progression in patient with keratoconusTolga Yilmaz0Ahu Yilmaz1Feyza Altin2Ferah Ozcelik3Bereketzade, Bereketzade Cami Sk. No:2, 34421 Beyoğlu/İstanbul Haseki Eğitim ve Araştırma Hastanesi Aksaray/İstanbul Prof dr Cemil Taşcıoğlu Şehir Hastanesi Okmeydanı/İstanbul Bereketzade, Bereketzade Cami Sk. No:2, 34421 Beyoğlu/İstanbulWearing Rigid High Gas-Permeable Contact Lens (RGPCL) is a primary method of vision rehabilitation in keratoconus eyes. The aim of the study is to investigate the effects of using RGPCL on the topographical variations at the keratoconus progress. All patients had undergone ophthalmic examination including corneal topography, and their medical history and keratoconus characteristics were documented. Fifty-one eyes of those who wore RGPCL without any problems and 42 eyes of those who did not wear any lenses were evaluated retrospectively. It was accepted that the follow-up period was terminated when patients received any treatment or change lenses. The mean follow-ups were 36.5±12.7 and 38.4±14.6 months in the control and lens-wearing samples, respectively. The changes in topographic indices were compared from the baseline to the final visit. The difference between spectacle-best corrected visual acuity was not significant in both groups from baseline to final visit (p>0.05). In the RGPCL wearing group, apical keratometric power ( Kmax ) increased from mean 51.86±3.70 diopter (D) to 52.54±3.85 D at the sagittal map in the following period, but this difference was not significant (p>0.05). Similarly, in the control group, Kmax increased from mean 52.14±2.51 D to 52.94±3.02 D, and this difference was not significant (p>0.05). Lens-wearing and control group mean keratometry values increased from 47.36±1.7 D and 47.17±1.65 D to 47.94±2.05 D and 47.74±1.76 D, respectively (p>0.05). Pachymetry at the thinnest corneal point decreased significantly in both groups from baseline to final visit (p=0.008, p=0.01). In conclusion, the comfortable usage of RGPCL has no effect on the progression of keratoconus. [Med-Science 2022; 11(4.000): 1630-4]http://www.ejmanager.com/fulltextpdf.php?mno=111655corneakeratoconuskeratometryrigidgas-permeablecontact lenstopography
spellingShingle Tolga Yilmaz
Ahu Yilmaz
Feyza Altin
Ferah Ozcelik
Effects of rigid high gas-permeable contact lens wear on progression in patient with keratoconus
Medicine Science
cornea
keratoconus
keratometry
rigid
gas-permeable
contact lens
topography
title Effects of rigid high gas-permeable contact lens wear on progression in patient with keratoconus
title_full Effects of rigid high gas-permeable contact lens wear on progression in patient with keratoconus
title_fullStr Effects of rigid high gas-permeable contact lens wear on progression in patient with keratoconus
title_full_unstemmed Effects of rigid high gas-permeable contact lens wear on progression in patient with keratoconus
title_short Effects of rigid high gas-permeable contact lens wear on progression in patient with keratoconus
title_sort effects of rigid high gas permeable contact lens wear on progression in patient with keratoconus
topic cornea
keratoconus
keratometry
rigid
gas-permeable
contact lens
topography
url http://www.ejmanager.com/fulltextpdf.php?mno=111655
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AT feyzaaltin effectsofrigidhighgaspermeablecontactlenswearonprogressioninpatientwithkeratoconus
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