Contact lens rehabilitation following repaired corneal perforations.
BACKGROUND
Visual outcome following repair of post-traumatic corneal perforation may not be optimal due to presence of irregular keratometric astigmatism. We performed a study to evaluate and compare rigid gas permeable contact lens and spectacles in visual rehabilitation following perforating corneal injuries.


METHODS
Eyes that had undergone repair for corneal perforating injuries with or without lens aspiration were fitted rigid gas permeable contact lenses. The fitting pattern and the improvement in visual acuity by contact lens over spectacle correction were noted.


RESULTS
Forty eyes of 40 patients that had undergone surgical repair of posttraumatic corneal perforations were fitted rigid gas permeable contact lenses for visual rehabilitation. Twenty-four eyes (60%) required aphakic contact lenses. The best corrected visual acuity (BCVA) of > or = 6/18 in the snellen's acuity chart was seen in 10 (25%) eyes with spectacle correction and 37 (92.5%) eyes with the use of contact lens (p < 0.001). The best-corrected visual acuity with spectacles was 0.20 +/- 0.13 while the same with contact lens was 0.58 +/- 0.26. All the patients showed an improvement of > or = 2 lines over spectacles in the snellen's acuity chart with contact lens.


CONCLUSIONS
Rigid gas permeable contact lenses are better means of rehabilitation in eyes that have an irregular cornea due to scars caused by perforating corneal injuries.
Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India. titiyal@rediffmail.com
Jeewan S
JS
Titiyal
Rajesh
R
Sinha
Namrata
N
Sharma
V
V
Sreenivas
Rasik B
RB
Vajpayee
D000293:Adolescent; D000328:Adult; D001035:Aphakia / Q000150:complications; D001251:Astigmatism / Q000209:etiology; D002648:Child; D002921:Cicatrix / Q000150:complications / Q000209:etiology; D003261:Contact Lenses; D065306:Corneal Injuries; D015807:Eye Injuries, Penetrating / Q000150:complications / Q000503:physiopathology / Q000534:rehabilitation* / Q000601:surgery*; D005139:Eyeglasses; D005260:Female; D006801:Humans; D008297:Male; D014792:Visual Acuity