Assessing the Role of Soft Contact Lenses in …：评价软性角膜接触镜的作用….pptVIP

Assessing the Role of Soft Contact Lenses in Preoperative Conditions Following Keratoprosthesis Implantation The authors have no financial interest in the subject matter of this poster. The keratoprosthesis (Kpro), an artificial cornea, has proven effective at establishing a clear pathway for light through an opaque cornea.1 To qualify for the procedure, patients who underwent KPro surgery had poor prognoses for simple penetrating keratoplasty. These included patients with multiple graft rejection (54%), chemical injury (15%), and herpes simplex virus keratitis (7%) among others.2 The quality of life of the patients was increased with the restoration of vision, in some cases from light perception only to 20/400 vision1. Some of the difficulties arising from the KPro surgery have been desiccation by evaporative forces, epithelial defects, stromal thinning, and dellen formation.3 Problems caused by the physical presence of the device include instability of the KPro and aqueous humor leakage.4 To help protect the cornea from some of these complications, a soft contact lens (SCL) is routinely placed as the last step of surgery.3 The lens protects the corneal surface by diffusing the evaporative forces and maintaining a fluid meniscus at the edge of the front plate of the KPro. It also corrects postoperative refractive error, and can be used for cosmetic effect to match its paired eye.3,5,6 It has been recognized that pre-operative categories of patients, most broadly divided into autoimmune disorders, chemical injury, and “other” can be prognostic of post-surgical visual acuity outcomes.7 For the purposes of this study, the preoperative conditions have been grouped into autoimmune (Stevens-Johnson Syndrome, ocular cicatricial pemphigoid, rheumatoid arthritis, and uveitis), chemical injury, and “other” (infection and non-inflammatory conditions such as dystropheis, trauma, keratopathies, and keratoconus). There is however, a scarcity of data evaluating