MANAGEMENT OF IRREGULAR ASTIGMATISM AFTER CORNEAL ULCER WITH RGP CONTACT LENS IN PATIENTS WITH HIGH MYOPIA
DOI:
https://doi.org/10.11594/ojkmi.v5i2.49%20Keywords:
rigid gas permeable contact lens, irregular astigmatism, corneal ulcer, high myopiaAbstract
Introduction: RGP contact lenses are indicated for correcting refractive errors in cases of high myopia and irregular astigmatism due to changes in the corneal curvature.
Case Report: A 30-year-old female came with complaints of redness, pain, glare, blurred vision, and yellow discharge and tearing on the left eye for 2 days, history of using Soft Contact Lens (SCL) since 10 years old due to myopia. Visual Acuity of the right eye (VOD) with glasses was 6/12 and VA of the left eye (VOS) was 1/300. The patient was diagnosed with left eye corneal ulcer and was given levofloxacin eye drops, hydroxypropyl methylcellulose eye drops, and vitamin C 1000 mg. The left eye's corneal ulcer healed after three days, but the scarring left the cornea's surface uneven.. Patients were advised to replace the contact lenses with RGP contact lenses. After the RGP fitting, the appropriate size was obtained in both eyes and the patient adapted well with VOD RGP 1.0 and VOS RGP 1.0 False. The patient felt helped by the RGP contact lens.
Discussion: RGP was given because it helped reduce the bacterial infection risk. RGP has a higher oxygen transmissibility and maintains the cornea's curvature to become more regular. It can be utilized as an optical device to repair excessive myopia in addition to irregular astigmatism.
Conclusion: RGP contact lens can be an option for irregular astigmatism after corneal ulcers due to the SCL use in patients with high myopia to provide good outcomes.
Downloads
References
Benjamin WJ. Borish’s Clinical Refraction. 2nd Edition. Oxford: Butterworth Heinemann, an imprint of Elsevier; 2006.
Springelkamp H, Iglesias AI, Mishra A, Höhn R, Wojciechowski R, Khawaja AP, et al. New insights into the genetics of primary open-angle glaucoma based on meta-analyses of intraocular pressure and optic disc characteristics. Hum Mol Genet. 2017;26(2):438–53.
Martn R, Rodrguez G, Juan Herrez V de. Contact Lens Correction of Regular and Irregular Astigmatism. Astigmatism - Opt Physiol Manag. 2012; (February 2012).
Cope JR, Collier SA, Nethercut H, Jones JM, Yates K, Yoder JS. Risk Behaviors for Contact Lens-Related Eye Infections Among Adults and Adolescents - United States, 2016. MMWR Morb Mortal Wkly Rep. 2017;66(32):841-845.
Amescua G, Miller D, Alfonso EC. What is causing the corneal ulcer? Management strategies for unresponsive corneal ulceration. Eye (Lond). 2012;26(2):228-236.
Titiyal JS, Sinha R, Sharma N, Sreenivas V, Vajpayee RB. Contact lens rehabilitation following repaired corneal perforations. BMC Ophthalmol. 2006;6:4–7.
Szczotka-Flynn L, Ahearn DG, Barr J, Benjamin WJ, Kiang T, Nichols JJ, Schein OD, Stone RP, Winterton L. 1. History, evolution, and evolving standards of contact lens care. Cont Lens Anterior Eye. 2013;36 Suppl 1:S4-8.
Garg P, Rao GN. Corneal ulcer: diagnosis and management. Community Eye Health. 1999;12(30):21-23.
Shah Z, Singh S, Purohit D. Comparison of topographic indices and corneal higher order aberrations in eyes with an extreme asymmetry of keratoconus with control eyes. Kerala J Ophthalmol. 2019;31(3):206.
Wahyuni, Indri, and Trisnowati Taib Saleh. "Fitting lensa kontak rigid gas permeable (rgp)." J Oftalmol Indones 5.3 (2007): 194-203.
Abdelkader A. Cosmetic soft contact lens associated ulcerative keratitis in southern Saudi Arabia. Middle East Afr J Ophthalmol. 2014;21(3):232-235.
Thatte S. Efficacy of Amniotic Membrane Transplantation in Refractory Infective Keratitis Leading to Stromal Thinning, Descematocele and Perforations. JOJ Ophthalmol. 2017;3(3):1–6.
Wilson SL, El Haj AJ, Yang Y. Control of scar tissue formation in the cornea: strategies in clinical and corneal tissue engineering. J Funct Biomater. 2012;3(3):642-687.
Pradhan ZS, Mittal R, Jacob P. Rigid gas-permeable contact lenses for visual rehabilitation of traumatized eyes in children. Cornea. 2014;33(5):486-9.
Koffler BH, Sears JJ. Myopia control in children through refractive therapy gas permeable contact lenses: Is it for real? Am J Ophthalmol. 2013;156(6):1076-1081.e1.
Gogri P, Bhombal FA. A new technique for fitting of tricurve rigid gas-permeable contact lens in penetrating keratoplasty eyes using Scheimpflug imaging. Indian J Ophthalmol. 2020;68(6):1057-1060
Opacic KC. Correction of Astigmatism with Contact Lenses. Acta Clin Croat. 2012;51:305307.
Walline JJ, Jones LA, Sinnott LT. Corneal reshaping and myopia progression. Br J Ophthalmol. 2009;93(9):1181-5
Pauné J, Queiros A, Lopes-Ferreira D, Faria-Ribeiro M, Quevedo L, Gonzalez-Meijome JM. Efficacy of a gas permeable contact lens to induce peripheral myopic defocus. Optom Vis Sci. 2015;92(5):596-603.
Downloads
Submitted
Accepted
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Oftalmologi: Jurnal Kesehatan Mata Indonesia
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
This work is licensed under a 