scholarly journals Performance of Daily Disposable Contact Lenses in Symptomatic Wearers

2020 ◽  
Vol 4 (1) ◽  
pp. e1-e11
Author(s):  
Joachim Nick ◽  
Stefan Schwarz ◽  
Satu Jarvinen ◽  
Ian Chalmers ◽  
Carolina Kunnen
Keyword(s):  
Crossover Study ◽  
Contact Lenses ◽  
Front Surface ◽  
Surface Wettability ◽  
Subjective Ratings ◽  
Open Label ◽  
Silicone Hydrogel ◽  
Quality Of Vision ◽  
Water Gradient

PurposeTo evaluate the performance of delefilcon A water gradient and narafilcon A silicone hydrogel daily dispos-able contact lenses (CLs) in symptomatic soft CL wearers. MethodsThis multicenter, open-label, crossover study randomized 121 soft CL wearers with symptoms of CL dis-comfort to delefilcon A or narafilcon A for 2 weeks, followed by the alternate lens for 2 weeks. Subjects rated end-of-day (EOD) comfort, EOD dryness, and quality of vision, and investigators rated fit, surface deposits, and surface wettability. ResultsAfter 2 weeks, all subjective measures were better for delefilcon A than for narafilcon A, including EOD comfort (8.3 ± 1.9 vs. 6.6 ± 2.2), EOD dryness (8.0 ± 2.2 vs. 5.8 ± 2.6), and quality of vision (8.9 ± 1.4 vs. 7.9 ± 1.7), all p<.0001. Average daily wear time (DWT; 13.0 ± 2.8 vs. 12.3 ± 2.6 hr) and average comfort-able DWT (11.6 ± 3.9 vs. 9.3 ± 3.8 hr) were longer for delefilcon A lenses (p<.0001). The proportions of right and left lenses without front surface deposits were twofold higher for delefilcon A than for narafilcon A, and surface wettability was significantly higher for delefilcon A than for narafilcon A p<.0001). ConclusionIn this population of symptomatic CL wearers, delefilcon A lenses showed superior subjective ratings for comfort, dryness, quality of vision, DWT, and comfortable DWT and better investigator-rated lens sur-face attributes including fewer surface deposits and superior wettability than did narafilcon A lenses after 2 weeks of wear.

scholarly journals Quality of Vision with Spectacles, Special Silicone Hydrogel and Gas Permeable Contact Lenses in Keratoconic Patients

2013 ◽  
Vol 2 (2) ◽  
pp. 56-59 ◽  
Author(s):  
Jose M González-Méijome ◽  
Sofia Claudia Peixoto-de-Matos ◽  
Antonio Queiros ◽  
Jorge M Jorge ◽  
Alberto Diaz-Rey
Keyword(s):  
Visual Acuity ◽  
Contact Lens ◽  
Contact Lenses ◽  
Soft Contact ◽  
Low Contrast ◽  
Silicone Hydrogel ◽  
Soft Contact Lens ◽  
Quality Of Vision ◽  
Spectacle Correction

ABSTRACT Purpose To evaluate optical quality and visual function in keratoconus patients corrected with RGP contact lenses and a novel special design of silicone hydrogel contact lens. Materials and methods Twelve eyes of six patients with keratoconus were enrolled to experience a new soft contact lens (Soft-K) for keratoconus made of a silicone-hydrogel material and the outcomes were compared to the performance with gas permeable lenses and spectacles. The three situations were compared for monocular and binocular high (100%) and low contrast (10%) ETDRS LogMAR visual acuity and contrast sensitivity function (CSF). Results On average, there was an improvement of more than two lines in visual acuity over spectacle correction and this is statistically significant for both gas permeable (GP) and Soft-K lens (p < 0.001). Visual acuity was not significantly different between GP and Soft-K lens for high contrast acuity but was slightly higher with GP lens for low contrast under binocular conditions. Monocular CSF showed a marked improvement with the Soft-K lens and GP, compared to spectacles correction, particularly for medium and high frequencies; conversely. Conclusion Soft-K silicone hydrogel soft contact lens produces a clinical and statistically significant improvement in visual acuity and contrast sensitivity function over spectacle correction. How to cite this article González-Méijome JM, Peixoto-de- Matos SC, Queiros A, Jorge JM, Diaz-Rey A. Quality of Vision with Spectacles, Special Silicone Hydrogel and Gas Permeable Contact Lenses in Keratoconic Patients. Int J Kerat Ect Cor Dis 2013;2(2):56-59.

The visualization and assessment of the anterior surface of the cornea using video keratotopography

The Eye ◽  
2020 ◽  
Vol 22 (130) ◽  
pp. 36-43
Author(s):  
Gulnara Andrienko
Keyword(s):  
Contact Lenses ◽  
Corneal Topography ◽  
Topographic Maps ◽  
Specific Situation ◽  
Main Method ◽  
Pathological Conditions ◽  
Quality Of Vision ◽  
Corneal Shape ◽  
Color Map

Corneal topography is the main method for assessing the regularity of the surface of the cornea. Corneal irregularity leads to a deterioration in its refractive properties and a decrease in the quality of vision. Learning the basics of corneal topography will help determine the choice of a color map for a specific situation, as well as understand and analyze the data associated with these maps. This article describes the main types of topographic maps, various patterns of corneal shape in normal and pathological conditions and how to use the data obtained to design and fit contact lenses. Despite the fact that images may vary depending on topographers used, the information presented in this article is universal.

Keratoconic Bi-aspheric Contact Lenses

2016 ◽  
Vol 5 (3) ◽  
pp. 132-138
Author(s):  
Ariela Gordon-Shaag ◽  
Philip Fine ◽  
Liat Gantz ◽  
Arige Gideon-Abousaid ◽  
Gad Serero
Keyword(s):  
Visual Acuity ◽  
Contact Lenses ◽  
Case Series ◽  
Visual Stability ◽  
Wavefront Aberrations ◽  
Body Sensation ◽  
Quality Of Vision ◽  
Base Curve ◽  
Aspheric Lenses

ABSTRACT Aim This observational clinical case series examined patients with keratoconus (KC) fit with keratoconic bi-aspheric (KBA) lenses to assess visual acuity (VA), wavefront aberrations, physiological fitting, subjective comfort, and manufacturer's fitting guidelines. Materials and methods Seven adult patients (11 eyes, four females, mean age: 34.15 ± 14.12) with nipple cones from the Hadassah Academic College contact lens clinic (Jerusalem, Israel) were fit with KBA lenses by modifying the initial base curve (BC) to obtain an acceptable physiological fit. The uncorrected and corrected distance (D) and near (N) Snellen VA and the ocular wavefront measurements, and responses to a self-administered five-point scale questionnaire were compared after 2 weeks of wear using paired two-tailed t-test or Mann-Whitney U test, as appropriate. Results Visual acuity and total root mean square (RMS) improved significantly with the lenses (DVAuncorrected = 0.04 ± 0.02, DVAcorrected = 0.66 ± 0. 22, NVAuncorrected = 0.34 ± 0.30, NVAcorrected = 0.95 ± 0.12). Subjects reported an average of 7.0 ± 2.7 hours of wear daily, with good scores in visual stability, satisfaction with VA and quality of vision, improvement of mood and quality of life, and low scores in foreign body sensation, pain, red eye, and itching during wear, and difficulty with lens removal. An average of two BC modifications from the diagnostic lens were necessary (0.16 mm steeper in nine eyes, 0.27 mm flatter in two eyes). Conclusion Keratoconic bi-aspheric lenses can provide 7 hours of comfortable wear, significantly improved VA and total RMS aberrations, alongside subjective satisfaction. Base curve modifications can be reduced by fitting a diagnostic lens 0.75 mm steeper than the flattest keratometry reading. How to cite this article Gantz L, Gordon-Shaag A, Gideon-Abousaid A, Serero G, Fine P. Keratoconic Bi-aspheric Contact Lenses. Int J Kerat Ect Cor Dis 2016;5(3):132-138.

The visualization and assessment of the anterior surface of the cornea using video keratotopography

The Eye ◽  
2020 ◽  
Vol 22 (130) ◽  
pp. 36-42
Author(s):  
Gulnara Andrienko
Keyword(s):  
Contact Lenses ◽  
Corneal Topography ◽  
Topographic Maps ◽  
Specific Situation ◽  
Main Method ◽  
Pathological Conditions ◽  
Quality Of Vision ◽  
Corneal Shape ◽  
Color Map

Corneal topography is the main method for assessing the regularity of the surface of the cornea. Corneal irregularity leads to a deterioration in its refractive properties and a decrease in the quality of vision. Learning the basics of corneal topography will help determine the choice of a color map for a specific situation, as well as understand and analyze the data associated with these maps. This article describes the main types of topographic maps, various patterns of corneal shape in normal and pathological conditions and how to use the data obtained to design and fit contact lenses. Despite the fact that images may vary depending on topographers used, the information presented in this article is universal.

scholarly journals EVALUATION OF CLINICAL AND FUNCTIONAL OUTCOME OF MULTIFOCAL CORRECTION BY CONTACT LENS IN PATIENTS WITH PRESBYOPIA AND MYOPIA REFRACTION

2016 ◽  
Vol 1 (6) ◽  
pp. 103-107
Author(s):  
Рогожникова ◽  
Elena Rogozhnikova ◽  
Селиверстова ◽  
Nataliya Seliverstova ◽  
Розанова ◽  
...  
Keyword(s):  
Contact Lens ◽  
Contact Lenses ◽  
Tear Film ◽  
Functional Results ◽  
Corneal Epithelial ◽  
Interaction Field ◽  
Standard Procedures ◽  
Quality Of Vision ◽  
Selection Of

The aim of the study was to evaluate the effectiveness of multifocal contact lens correction in patients with presbyopia and myopic refractive error. The study involved 45patients with myopia ranging in age from 43 to 56years in conditions of habitual monofocal contact lens correction, a month after the selection and wearing multifocal contact lenses. Contact correction was carried out according to standard procedures taking into account the accuracy of contact lens fitting, with carrying out functional tests for the “dry eye” syndrome and evaluation of corneal epithelial thickness (Optovue, USA). The as-sessment of the following parameters of visual perception was made: far, near and middle distance (monocular and binocular) visual acuity, the spatial contrast sensitivity, stereovision (I &amp; II Lang test), the area of binocular interaction field (binarymeter), the quality of vision (VF-14 test ). The use of multifocal contact lenses for the correction of presbyopia with the initial myopic refraction ensures high functional results at different distances. Patients with a myopic refraction, previously used contact lenses, easy pass to multifocal correction option. The greatest satisfaction by achieved vision noted in those patients who had achieved refraction (–)0.5diopters. In the selection of contact lenses in older patients the thickness of the corneal epithelium and tear film validity must be taken into account.

scholarly journals Frequently Experienced Problems in the Early Stages after Prescribing Rigid Gas Permeable Contact Lenses

2021 ◽  
Vol 20 (4) ◽  
pp. 135-139
Author(s):  
Dong Ho Lee
Keyword(s):  
Visual Acuity ◽  
Foreign Body ◽  
Contact Lenses ◽  
Foreign Body Sensation ◽  
Corneal Curvature ◽  
Slit Lamp ◽  
Body Sensation ◽  
Quality Of Vision ◽  
Slit Lamp Microscopy

Prescribing rigid gas-permeable (RGP) lenses involves a series of processes that determine the most appropriate final lens through the trial use of test lenses based on the results of slit lamp microscopy, measuring refraction and corneal curvature, and corneal topography. The final prescription is reached by judging the dynamic lens movement, adequacy of the tear layer around the lens, corrected vision, and quality of vision. Various problems are encountered soon after prescribing lenses, including foreign body sensation, tear hypersecretion, decreased visual acuity, blurring, visual acuity change, redness, dryness, sudden pain, lens centering, and lens fallout. Here, we examine these problems and how to solve them.

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