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Use of therapeutic non-refractive contact lenses to improve visual outcome after repair of traumatic corneal wounds

BACKGROUND: The purpose of this study was to evaluate the effect of use of contact lenses to improve visual outcome after repair of traumatic corneal wounds. METHODS: Two groups of patients (n=30 each) with traumatic full thickness corneal wounds were entered into this study. All cases were caused b...

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Autor principal: Khater, Mohammad M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4155892/
https://www.ncbi.nlm.nih.gov/pubmed/25210430
http://dx.doi.org/10.2147/OPTH.S68474
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author Khater, Mohammad M
author_facet Khater, Mohammad M
author_sort Khater, Mohammad M
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description BACKGROUND: The purpose of this study was to evaluate the effect of use of contact lenses to improve visual outcome after repair of traumatic corneal wounds. METHODS: Two groups of patients (n=30 each) with traumatic full thickness corneal wounds were entered into this study. All cases were caused by sharp objects such as a knife or piece of glass that produced a corneal full thickness wound without any other associated ocular injuries. One group was repaired and received medical treatment (non-contact lens group) and the other group was repaired and a soft contact lens was fitted over the cornea, then medically treated (contact lens group). Each patient was followed up until complete healing, the sutures were removed after about 6 weeks, and the patients were followed up for a further 6 weeks, for a complete follow-up period of 3 months, after which postoperative refraction, manifest refractive spherical equivalent, uncorrected visual acuity, and best-corrected visual acuity were measured and compared between the two groups. RESULTS: After repair and follow-up, uncorrected visual acuity ≥0.3 (decimal system) was achieved in 19 cases (63%) in the contact lens group and in only 14 cases (47%) in the non-contact lens group (P=0.018). Best-corrected visual acuity ≥0.6 was achieved in 26 cases (87%) in the contact lens group and in only 17 cases (57%) in the control group (P=0.012). CONCLUSION: Soft contact lenses can be used after repair of traumatic corneal wounds to improve visual outcome.
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spelling pubmed-41558922014-09-10 Use of therapeutic non-refractive contact lenses to improve visual outcome after repair of traumatic corneal wounds Khater, Mohammad M Clin Ophthalmol Original Research BACKGROUND: The purpose of this study was to evaluate the effect of use of contact lenses to improve visual outcome after repair of traumatic corneal wounds. METHODS: Two groups of patients (n=30 each) with traumatic full thickness corneal wounds were entered into this study. All cases were caused by sharp objects such as a knife or piece of glass that produced a corneal full thickness wound without any other associated ocular injuries. One group was repaired and received medical treatment (non-contact lens group) and the other group was repaired and a soft contact lens was fitted over the cornea, then medically treated (contact lens group). Each patient was followed up until complete healing, the sutures were removed after about 6 weeks, and the patients were followed up for a further 6 weeks, for a complete follow-up period of 3 months, after which postoperative refraction, manifest refractive spherical equivalent, uncorrected visual acuity, and best-corrected visual acuity were measured and compared between the two groups. RESULTS: After repair and follow-up, uncorrected visual acuity ≥0.3 (decimal system) was achieved in 19 cases (63%) in the contact lens group and in only 14 cases (47%) in the non-contact lens group (P=0.018). Best-corrected visual acuity ≥0.6 was achieved in 26 cases (87%) in the contact lens group and in only 17 cases (57%) in the control group (P=0.012). CONCLUSION: Soft contact lenses can be used after repair of traumatic corneal wounds to improve visual outcome. Dove Medical Press 2014-08-28 /pmc/articles/PMC4155892/ /pubmed/25210430 http://dx.doi.org/10.2147/OPTH.S68474 Text en © 2014 Khater. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Khater, Mohammad M
Use of therapeutic non-refractive contact lenses to improve visual outcome after repair of traumatic corneal wounds
title Use of therapeutic non-refractive contact lenses to improve visual outcome after repair of traumatic corneal wounds
title_full Use of therapeutic non-refractive contact lenses to improve visual outcome after repair of traumatic corneal wounds
title_fullStr Use of therapeutic non-refractive contact lenses to improve visual outcome after repair of traumatic corneal wounds
title_full_unstemmed Use of therapeutic non-refractive contact lenses to improve visual outcome after repair of traumatic corneal wounds
title_short Use of therapeutic non-refractive contact lenses to improve visual outcome after repair of traumatic corneal wounds
title_sort use of therapeutic non-refractive contact lenses to improve visual outcome after repair of traumatic corneal wounds
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4155892/
https://www.ncbi.nlm.nih.gov/pubmed/25210430
http://dx.doi.org/10.2147/OPTH.S68474
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