Contact Lens-Induced Regression of Lisch Epithelial Corneal Dystrophy

Walter Lisch; Joanna Wasielica-Poslednik; Christina Lisch; Parykshit Saikia; Susanne Pitz

doi:10.1097/ico.0b013e3181aabefe

Contact Lens-Induced Regression of Lisch Epithelial Corneal Dystrophy

Cornea ◽

10.1097/ico.0b013e3181aabefe ◽

2010 ◽

Vol 29 (3) ◽

pp. 342-345 ◽

Cited By ~ 10

Author(s):

Walter Lisch ◽

Joanna Wasielica-Poslednik ◽

Christina Lisch ◽

Parykshit Saikia ◽

Susanne Pitz

Keyword(s):

Contact Lens ◽

Corneal Dystrophy

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Contact lens induced bacterial keratitis in LCD II: Management and multimodal imaging: a case report and review of literature

European Journal of Ophthalmology ◽

10.1177/1120672120968724 ◽

2020 ◽

pp. 112067212096872

Author(s):

Munirah Alafaleq ◽

Juliette Knoeri ◽

Sandrine Boutboul ◽

Vincent Borderie

Keyword(s):

Contact Lens ◽

Multimodal Imaging ◽

Anterior Segment ◽

Corneal Dystrophy ◽

Bacterial Keratitis ◽

Infectious Keratitis ◽

Bandage Contact Lens ◽

Lattice Corneal Dystrophy ◽

Subepithelial Fibrosis

Purpose: To describe the management and multimodal imaging of lattice corneal dystrophy type II (LCD-II) complicated by an infectious keratitis due to a bandage contact lens and to review current literature. Observation: A 50-year-old female was diagnosed with Meretoja’s Syndrome by the triad of facial palsy, loose skin (cutix laxa), and stromal corneal dystrophy. At slit lamp, bilateral lattice corneal dystrophy (LCD) was characterized by multiple linear refractile lines and subepithelial fibrosis along with Neurotrophic keratitis Mackie grade I. Findings of anterior segment optical coherence tomography (AS-OCT) were epithelial irregularity, subepithelial fibrosis, hyperreflectivity on anterior stromal layer, lobulated stromal surface. In vivo confocal microscopy (IVCM) showed hyperreflected deposits on the basal and Bowman layers, visible keratocytes; fine lines and streaks between corneal lamella. The sub-basal nerve plexus and the stromal nerves were no longer visible. She presented in emergency with a left red eye. A severe bacterial keratitis was diagnosed as a complication of a bandage contact lens used to treat recurrent epithelial erosion. Corneal anesthesia was complete. Corneal neovascularization was evident 10 weeks later and topical bevacizumab (5 mg/ml) was introduced twice daily. Partial regression of deep stromal vessels was noticed at 3 months. Conclusion: In Meretoja’s syndrome, neurotrophic keratopathy secondary to polyneuropathy due to systemic amyloid deposits is present in the advanced stages, promotes recurrent corneal erosions. Corneal sensitivity test, AS-OCT and IVCM are crucial in the diagnosis behind any recurrent corneal erosion. The use of bandage contact lens should be avoided in Meretoja’s syndrome to prevent a possible infectious keratitis.

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Experience Using the Heidelberg Retina Angiograph 2 with a Wide-Field Contact Lens System in Diabetic Retinopathy Cases

The Open Ophthalmology Journal ◽

10.2174/1874364101307010054 ◽

2013 ◽

Vol 7 (1) ◽

pp. 54-57 ◽

Cited By ~ 1

Author(s):

Miyo Shiibashi ◽

Miwako Yoshimoto ◽

Takashi Shigeeda ◽

Shigehiko Kitano ◽

Satoshi Kato

Keyword(s):

Diabetic Retinopathy ◽

Contact Lens ◽

Laser System ◽

Corneal Dystrophy ◽

Wide Field ◽

Lens System ◽

Advantages And Disadvantages ◽

Confocal Scanning ◽

Confocal Scanning Laser ◽

Media Opacities

Introduction: HRA (Heiderberg Retina Angiograph) 2 uses a confocal scanning laser system which can provide high quality digital images but its imaging field is only 30°at most. HRA2 with a wide-field contact lens system allows an imaging field of up to 150°. Methods: We examined the advantages and disadvantages of HRA2, with a wide-field contact lens, for the evaluating diabetic retinopathy (DR). Results: HRA2 was beneficial for obtaining images of the entire retina simultaneously, without missing peripheral retinal non-perfusion and neovascularization. On the other hand, clear images connot be acquired in cases with media opacities such as corneal dystrophy, cataract and asteroid hyalosis, or in those with yellow tinted IOL. Conclusions: HRA2 with a wide-field contact lens is useful for visualizing peripheral retinal lesions in DR cases.

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