외상으로 인한 각막혼탁 환자에서 RGP렌즈의 시력교정 효과

• 영문명: Vision-Correction Effect of RGP Contact Lens in Patients With Corneal Opacity Following Repaired Corneal Perforations
• 발행기관: 대한안과학회
• 저자명: 조현경 최정훈 양지욱 이영춘 김수영,Hyun Kyung Cho, MD, Jeong Hoon Choi, Ji Wook Yang, MD, Young Chun Lee, MD, PhD, Su Young Kim, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume51,number10, 1312~1318쪽, 전체 7쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2010.10.15

영문 초록

Purpose: To investigate the effect of rigid gas permeable (RGP) contact lenses in patients with corneal scar and opacity following repair of corneal perforations. Methods: A total of 10 eyes from 10 patients undergoing repair of corneal perforating injuries and fitted with RGP contact lenses were examined in the present study. The mean postoperative 3-month visual acuities, refraction, corneal topography, keratometry, best corrected visual acuities with spectacles and RGP lenses at an average of postoperative 3 months were evaluated. Results: Eight eyes had corneal opacities at the central and 2 eyes at the peripheral portion. Four patients had previous cataract surgery or cataract surgery with intraocular lens insertion due to traumatic cataract. The mean postoperative 3-month LogMAR visual acuity was 1.14 ± 0.53. Corneal topography showed irregular astigmatism in all patients and the mean keratometric astigmatism was 4.03 ± 4.06 diopters. The mean best corrected LogMAR visual acuities with spectacles was 0.91 ± 0.64 and with the RGP contact lens was 0.25 ± 0.35. A comparative analysis of improvement in visual acuity with the RGP contact lens over spectacle correction was found to be statistically significant (p = 0.005). Patients wore the lenses for more than 6 hours daily for the mean follow-up period (12.10 ± 7.80 months). Conclusions: In patients with corneal scar and opacity following repair of corneal perforations, RGP contact lens fitting should be considered first before surgical corrections such as keratoplasty. J Korean Ophthalmol Soc 2010;51(10):1312-1318

키워드

Corneal opacity, Corneal perforation, Corneal scar, RGP contact lens, Trauma