The use of ocular anatomical measurements using a rotating Scheimpflug camera to assist in the Esclera scleral contact lens fitting process.pdfVIP

Contact Lens and Anterior Eye 39 (2016) 148–153 Contents lists available at ScienceDirect Contact Lens and Anterior Eye journal homepage: /locate/clae The use of ocular anatomical measurements using a rotating Scheimp?ug camera to assist in the Esclera1 scleral contact lens ?tting process Sarah La Porta Webera,*, Renato Ambrósio Jr.a,b, César Lipenera, Cleusa Coral-Ghanemc, Ana Luisa Ho?ing-Limaa a Department of Ophthalmology, Federal University of S?o Paulo, S?o Paulo, SP, Brazil b Renato Ambrósio Eye Institute, Rio de Janeiro, RJ, Brazil c Sadalla Amin Ghanem Eye Hospital, Joinville, SC, Brazil ARTICLE INFO Article history: Received 16 December 2014 Received in revised form 23 September 2015 Accepted 24 September 2015 Keywords: Scleral lenses Scleral lens ?tting Contact lens Scheimp?ug camera Keratoconus Dry eye ABSTRACT Purpose: To test for associations between Pentacam1 derived topography variables and to evaluate the predictive power of those variables in relation to scleral contact lens (SCL) ?t. Setting: Department of Ophthalmology and Visual Sciences, Federal University of S?o Paulo, S?o Paulo-SP, Brazil. Design: Prospective observational non-randomised, non-comparative study. Methods: Forty-seven patients (63 eyes) were indicated for the use of Esclera1 SCL. All patients underwent Scheimp?ug imaging before the initial SCL evaluation. The following parameters were measured by Pentacam: corneal elevations, thickness, density, and anterior chamber depth (ACD). Correlations between the SCL parameters and the Pentacam measurements were analysed with Pearsons correlation coef?cients. A simple linear regression model was created for each lens parameter using the most-correlated Pentacam variable. Results: In the total group, the results show correlations between the SCL parameters and the corneal astigmatism, ACD and pentacam-measured corneal height (Hm), with p 0.001 each. In addition, an inverse correlation between the lens sagittal depth (LSD) and the anterior