Contact lenses after corneal lacerations.
Contact lenses were fit after traumatic corneal lacerations in 30 eyes (28 patients). Twenty-eight of the eyes (93%) were aphakic. Twenty-two of the 30 eyes (73%) wore the contact lens successfully (average follow-up 22 months). The visual acuity with the contact lens was 20/40 or better in 25 eyes (83%). In 13 eyes (43%) the final contact lens fit was a rigid gas permeable lens, with a daily wear soft contact lens as the final lens in 17 eyes (57%). The eight failures included four patients who were contact lens intolerant, two who had binocular diplopia, and two who lacked motivation. All but one of 12 (92%) small corneal lacerations (less than 3 mm) were successfully fit with contact lenses. Eleven out of the 13 (85%) central large lacerations, but none of the five large peripheral lacerations could be successfully fit with a contact lens. Three of the 30 eyes (10%) developed late retinal detachments. Contact lenses are successful in the majority of patients referred after corneal lacerations, but fitting these patients is challenging and time consuming.
Boghani
S
S
Cornea Service, Wills Eye Hospital, Philadelphia, PA 19107.
Cohen
E J
EJ
Jones-Marioneaux
S
S
D000293:Adolescent; D000328:Adult; D001035:Aphakia / Q000628:therapy; D001251:Astigmatism / Q000628:therapy; D002648:Child; D002675:Child, Preschool; D003261:Contact Lenses / Q000009:adverse effects; D003315:Cornea / Q000601:surgery; D065306:Corneal Injuries; D005260:Female; D006801:Humans; D008297:Male; D011182:Postoperative Care; D011379:Prognosis; D014792:Visual Acuity