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New web-based algorithm to improve rigid gas permeable contact lens fitting in keratoconus.pdf
G Model CLAE 936 No. of Pages 8
Contact Lens and Anterior Eye xxx (2016) xxx–xxx
Contents lists available at ScienceDirect
Contact Lens and Anterior Eye
journal homepage: /locate/clae
New web-based algorithm to improve rigid gas permeable contact lens ?tting in keratoconus
Sara Ortiz-Toqueroa,b,c, Guadalupe Rodrigueza,b,c, Victoria de Juanb,c,d, Raul Martina,b,c,e,*
a Universidad de Valladolid, Departamento de Física Teórica, Atómica y óptica, Paseo de Belén, 7 à Campus Miguel Delibes, 47011 Valladolid, Spain b Universidad de Valladolid, Instituto Universitario de Oftalmobiología Aplicada (IOBA), Paseo de Belén, 17 à Campus Miguel Delibes, 47011 Valladolid, Spain c Optometry Research Group, IOBA Eye Institute, School of Optometry, University of Valladolid, Valladolid, Spain d Department of Ophthalmology, Ramón y Cajal University Hospital, Madrid, Spain e Faculty of Health and Human Sciences, Plymouth University, Derriford Road, PL6 8BH Plymouth, United Kingdom
ARTICLE INFO
Article history: Received 20 August 2016 Received in revised form 9 December 2016 Accepted 21 December 2016
Keywords: Algorithm Gas permeable Contact lens Keratoconus
ABSTRACT
Purpose: To calculate and validate a new web-based algorithm for selecting the back optic zone radius (BOZR) of spherical gas permeable (GP) lens in keratoconus eyes. Methods: A retrospective calculation (n = 35; multiple regression analysis) and a posterior prospective validation (new sample of 50 keratoconus eyes) of a new algorithm to select the BOZR of spherical KAKC design GP lenses (Conoptica) in keratoconus were conducted. BOZR calculated with the new algorithm, manufacturer guidelines and APEX software were compared with the BOZR that was ?nally prescribed. Number of diagnostic lenses, ordered lenses and visits to achieve optimal ?tting were recorded and compared those obtained for a control group [50 healthy eyes ?tted with spherical GP (BIAS design; Conoptica)]. Results: The new algorithm highly correlated with the
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