Changes in refraction after retinal detachment surgery corrected by extended wear contact lenses for early visual rehabilitation.
The encircling band used in conventional retinal detachment surgery creates a circular indentation of the eye and thus may increase the anterior-posterior axial length. The myopia induced by encircling elements in retinal detachment surgery varies between 0 and 3 D. In a series of 25 patients, the average change in refraction after surgery was -2.25 D. To achieve early visual rehabilitation, patients were fitted with extended-wear soft contact lenses 7 to 10 days after surgery. The patients were followed for up to 6 months and contact lenses were exchanged according to changes in refraction. Visual rehabilitation using extended-wear lenses was immediate and excellent. The contact lenses were tolerated well. Two patients developed a minor corneal infiltrate under the soft lens and were withdrawn from the study.
Beekhuis
H
H
Cornea Service, Rotterdam Eye Hospital, The Netherlands.
Talsma
M
M
Vreugdenhil
W
W
Eggink
F
F
Peperkamp
E
E
Van Meurs
J
J
D000328:Adult; D000368:Aged; D000886:Anthropometry; D003262:Contact Lenses, Extended-Wear; D005123:Eye / Q000033:anatomy & histology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000209:etiology / Q000534:rehabilitation*; D012029:Refraction, Ocular; D012163:Retinal Detachment / Q000601:surgery*; D012591:Scleral Buckling / Q000009:adverse effects; D014792:Visual Acuity