Extended-wear aphakic soft contact lenses after penetrating keratoplasty

Mark J Mannis, E. R. Matsumoto

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Abstract

Seven patients undergoing aphakic keratoplasty or combined keratoplasty and cataract extraction were fitted with a single type of high-water-content, extended-wear, aphakic soft contact lens (Permalens). Six patients were fitted early after keratoplasty, i.e., before the removal of sutures and while they were still receiving corticosteroid drops (1% prednisolone acetate). The patients were followed up at close intervals with high-magnification serial corneal photography. Complications of extended wear included superficial neovascularization, punctate keratitis, and variable visual acuity. Our results suggest that although extended-wear aphakic soft contact lenses may be an acceptable form of visual rehabilitation in selected patients who undergo transplantation, they are frequently problematic. In addition, fitting of these lenses should be withheld until after the removal of the sutures, and patients should be followed up at closer intervals than the patients with extended-wear aphakic soft contact lenses who have not undergone keratoplasty.

Original languageEnglish (US)
Pages (from-to)1225-1228
Number of pages4
JournalArchives of Ophthalmology
Volume101
Issue number8
StatePublished - 1983

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ASJC Scopus subject areas

  • Ophthalmology

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