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Scleral contact lenses in the management of pellucid marginal degeneration.pdf
Contact Lens and Anterior Eye 39 (2016) 217–220
Contents lists available at ScienceDirect
Contact Lens and Anterior Eye
journal homepage: /locate/clae
Scleral contact lenses in the management of pellucid marginal degeneration
Varsha M. Rathia,*, Srikanth Dumpatib, Preeji S. Mandatharab,1, Mukesh M. Tanejac, Virender S. Sangwanc
a L V Prasad Eye Institute, Banjara Hills, Hyderabad 500034, Telangana, India b Bausch Lomb Contact Lens Centre, L V Prasad Eye Institute, Hyderabad, India c Cornea Services, L V Prasad Eye Institute, Hyderabad, India
ARTICLE INFO
Article history: Received 2 July 2015 Received in revised form 4 November 2015 Accepted 24 November 2015
Keywords: Pellucid marginal degeneration PROSE Scleral contact lens Hydrops
ABSTRACT
Purpose: To assess visual improvement with scleral lenses (PROSE, prosthetic replacement of the ocular surface ecosystem, Boston Foundation for Sightight, USA) in patients with Pellucid marginal degeneration (PMD). Methods: This is a single-center, retrospective case-series involving patients with clinical PMD who underwent scleral lens-PROSE trial for improvement of visual acuity, from January 2009 to December 2012 at a tertiary center in India. Scleral lenses with different front surface eccentricities (FSE) were tried for improvement of visual acuity. Snellen visual acuity before and with PROSE wear was noted. Complications with PROSE wear to follow-up were noted. Results: PROSE was dispensed to 12 patients (20 eyes) out of 19 patients having PMD. Location of PMD was inferior in fourteen and superior in two eyes. Four eyes had co-existing keratoconus. Nine were males and three were females. The indications for scleral lens were lens popping-out, failure of piggy-back contact lens and RGP failure. LogMAR Visual acuity improved signi?cantly from 0.45 ? 0.31 pre-PROSE to 0.05 ? 0.08 post-PROSE (p = 0.0001). The FSE ordered was 0.6 in 17 eyes, 0.3 in one eye and 0.8 in two eyes. Three patients had hydrops over follow-up; two pati
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