Clinical Performance and Patient Satisfaction of Hybrid Contact Lenses in Patients with Keratoconus

Objectives:The aim of the study was to evaluate the fitting process, clinical performance, and patient satisfaction of hybrid contact lenses (HCL) in patients with keratoconus (KC).Materials and Methods:Sixty-eight KC patients (35 female, 33 male) who were prescribed HCL were included in the study....

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Main Authors: Aydogdy Serdarov, Banu Bozkurt, Yalçın Karaküçük, Süleyman Okudan
Format: Article
Language:English
Published: Galenos Yayinevi 2023-08-01
Series:Türk Oftalmoloji Dergisi
Subjects:
Online Access: http://www.oftalmoloji.org/archives/archive-detail/article-preview/clinical-performance-and-patient-satisfaction-of-h/61590
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author Aydogdy Serdarov
Banu Bozkurt
Yalçın Karaküçük
Süleyman Okudan
author_facet Aydogdy Serdarov
Banu Bozkurt
Yalçın Karaküçük
Süleyman Okudan
author_sort Aydogdy Serdarov
collection DOAJ
description Objectives:The aim of the study was to evaluate the fitting process, clinical performance, and patient satisfaction of hybrid contact lenses (HCL) in patients with keratoconus (KC).Materials and Methods:Sixty-eight KC patients (35 female, 33 male) who were prescribed HCL were included in the study. Corneal topographic parameters, best corrected visual acuity (BCVA) with eyeglasses, the number of HCL trials, prescribed HCL base curve (BC), and visual acuity with HCL were recorded from hospital records. A contact lens satisfaction survey was sent to the patients via email or WhatsApp and the data was statistically analyzed using IBM SPSS Statistics version 22.0.Results:The study included 110 eyes of 68 patients with a mean age of 27.34±8 years (range: 12-48 years). According to the Amsler-Krumeich classification, 35.5% of the eyes were stage 1, 50.9% were stage 2, and 13.5% were stage 3 or 4. Mean K1, K2, and Kmean values were 7.14±0.50 mm (range 5.72-8.30 mm), 6.63±0.49 mm (range 5.07-7.84 mm), and 6.89±0.48 mm (range 5.39-8.06 mm), respectively. The average number of lens trials was 1.59±0.82 (range 1-4). The mean BC of the prescribed HCL was 6.84±0.50 mm (range 5.60-8.00 mm). BCVA with glasses was 0.36±0.2 (range 0.05-0.8), and 0.80±0.14 (range 0.3-1.0) with HCL (p<0.0001). The overall survey score was 3.54 out of 5, the overall satisfaction score was 3.27, the average vision satisfaction score was 3.62, the average satisfaction score for lens insertion and removal was 3.01, and the average satisfaction score for lens comfort was 2.97.Conclusion:Prescribed HCL BC is usually close to the topographic K<sub>mean</sub> value and in most of the patients, fitting was successful with the first or second CL trial. The overall satisfaction score was moderate to good and the disadvantages were low comfort compared to soft CL, difficulty with insertion and removal, short lens life, and high cost.
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spelling doaj.art-cc75d0489e6e4d95a31094143ebed8b02023-08-22T07:14:03ZengGalenos YayineviTürk Oftalmoloji Dergisi1300-06592147-26612023-08-0153420621210.4274/tjo.galenos.2022.4307713049054Clinical Performance and Patient Satisfaction of Hybrid Contact Lenses in Patients with KeratoconusAydogdy Serdarov0Banu Bozkurt1Yalçın Karaküçük2Süleyman Okudan3 Selçuk Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Konya, Türkiye Selçuk Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Konya, Türkiye Selçuk Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Konya, Türkiye Selçuk Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Konya, Türkiye Objectives:The aim of the study was to evaluate the fitting process, clinical performance, and patient satisfaction of hybrid contact lenses (HCL) in patients with keratoconus (KC).Materials and Methods:Sixty-eight KC patients (35 female, 33 male) who were prescribed HCL were included in the study. Corneal topographic parameters, best corrected visual acuity (BCVA) with eyeglasses, the number of HCL trials, prescribed HCL base curve (BC), and visual acuity with HCL were recorded from hospital records. A contact lens satisfaction survey was sent to the patients via email or WhatsApp and the data was statistically analyzed using IBM SPSS Statistics version 22.0.Results:The study included 110 eyes of 68 patients with a mean age of 27.34±8 years (range: 12-48 years). According to the Amsler-Krumeich classification, 35.5% of the eyes were stage 1, 50.9% were stage 2, and 13.5% were stage 3 or 4. Mean K1, K2, and Kmean values were 7.14±0.50 mm (range 5.72-8.30 mm), 6.63±0.49 mm (range 5.07-7.84 mm), and 6.89±0.48 mm (range 5.39-8.06 mm), respectively. The average number of lens trials was 1.59±0.82 (range 1-4). The mean BC of the prescribed HCL was 6.84±0.50 mm (range 5.60-8.00 mm). BCVA with glasses was 0.36±0.2 (range 0.05-0.8), and 0.80±0.14 (range 0.3-1.0) with HCL (p<0.0001). The overall survey score was 3.54 out of 5, the overall satisfaction score was 3.27, the average vision satisfaction score was 3.62, the average satisfaction score for lens insertion and removal was 3.01, and the average satisfaction score for lens comfort was 2.97.Conclusion:Prescribed HCL BC is usually close to the topographic K<sub>mean</sub> value and in most of the patients, fitting was successful with the first or second CL trial. The overall satisfaction score was moderate to good and the disadvantages were low comfort compared to soft CL, difficulty with insertion and removal, short lens life, and high cost. http://www.oftalmoloji.org/archives/archive-detail/article-preview/clinical-performance-and-patient-satisfaction-of-h/61590 keratoconushybrid contact lenscontact lens satisfactionsurvey
spellingShingle Aydogdy Serdarov
Banu Bozkurt
Yalçın Karaküçük
Süleyman Okudan
Clinical Performance and Patient Satisfaction of Hybrid Contact Lenses in Patients with Keratoconus
Türk Oftalmoloji Dergisi
keratoconus
hybrid contact lens
contact lens satisfaction
survey
title Clinical Performance and Patient Satisfaction of Hybrid Contact Lenses in Patients with Keratoconus
title_full Clinical Performance and Patient Satisfaction of Hybrid Contact Lenses in Patients with Keratoconus
title_fullStr Clinical Performance and Patient Satisfaction of Hybrid Contact Lenses in Patients with Keratoconus
title_full_unstemmed Clinical Performance and Patient Satisfaction of Hybrid Contact Lenses in Patients with Keratoconus
title_short Clinical Performance and Patient Satisfaction of Hybrid Contact Lenses in Patients with Keratoconus
title_sort clinical performance and patient satisfaction of hybrid contact lenses in patients with keratoconus
topic keratoconus
hybrid contact lens
contact lens satisfaction
survey
url http://www.oftalmoloji.org/archives/archive-detail/article-preview/clinical-performance-and-patient-satisfaction-of-h/61590
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AT suleymanokudan clinicalperformanceandpatientsatisfactionofhybridcontactlensesinpatientswithkeratoconus