title: Utility of a semi-scleral contact lens design in the management of the irregular cornea.
abstract: OBJECTIVE
  To evaluate the utility of the Rose K2 XL semi-scleral contact lens (Menicon Co. Ltd., Nagoya, Japan) in the management of the irregular cornea.
  
  
  METHODS
  Twenty-seven subjects (34 eyes) with irregular corneas referred for contact lens fitting were evaluated. A diagnostic trial set was used in the fitting process. Once the trial lens was considered optimal, a final lens was ordered from the manufacturer with the necessary changes in power, edge lift and diameter. We analyzed visual acuity, number of lenses ordered and patients' ability to wear and handle lenses.
  
  
  RESULTS
  Twenty-three subjects (30 eyes) were fitted with the Rose K2 XL lens. Four subjects (4 eyes) decided not to conclude the fitting process for different reasons. Average logMAR visual acuity without correction and with the lens was 0.82 and 0.09, respectively (p<0.001). An average of 1.4 ordered lenses (range 1-3) were necessary to achieve the optimal fit. Nineteen eyes (63%) were fitted with the first lens ordered. Three subjects (13%) had problems with lens handling, and three subjects (4 eyes) abandoned the wear of the lenses after three months due to discomfort (3 eyes) and unsatisfactory visual acuity (1 eye), respectively. Follow-up ranged from 6 to 9 months.
  
  
  CONCLUSIONS
  Rose K2 XL semi-scleral contact lens provides good visual acuity and comfort in patients with irregular corneas.
authors.affiliation: MGR Doctores, Madrid, Spain. mrjlentes@gmail.com
authors.forename: Miguel
authors.initials: M
authors.lastname: Romero-Jiménez
authors.forename: Patricia
authors.initials: P
authors.lastname: Flores-Rodríguez
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003261:Contact Lenses; D019544:Equipment Failure Analysis; D005260:Female; D006801:Humans; D007640:Keratoconus / Q000150:complications* / Q000175:diagnosis / Q000534:rehabilitation*; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D017755:Prosthesis Fitting / Q000379:methods; D012030:Refractive Errors / Q000175:diagnosis / Q000209:etiology* / Q000534:rehabilitation*; D012590:Sclera; D016896:Treatment Outcome; D014792:Visual Acuity; D055815:Young Adult