Masking the Red Reflex of Flash Photography With Prosthetic Lenses
Abstract: The purpose of this case report was to represent the clinical expertise in managing with a patient with visible red fundal reflex on flash photography and its management with a soft prosthetic contact lens (PCL). This unique case report discussed a 31-year-old man complaining of visible red reflex in right eye while taking photographs with flashlight. Ocular history revealed that he is status post intraocular lens implantation and strabismus surgery followed by a nonpenetrating injury with a stick in the right eye 20 years back. The middilated, slow, tonic pupil was making the fundal glow more prominent in br...
Source: Eye and Contact Lens: Science and Clinical Practice - November 24, 2022 Category: Opthalmology Tags: Case Report Source Type: research

Late Spontaneous Postradial Keratotomy Corneal Perforation After Scleral Contact Lens Use—Case Report
Conclusion: Corneal instability caused by RK scars and daily manipulation with the SCL use may have led to ocular perforation. (Source: Eye and Contact Lens: Science and Clinical Practice)
Source: Eye and Contact Lens: Science and Clinical Practice - November 24, 2022 Category: Opthalmology Tags: Case Report Source Type: research

Effects of Systemic Diseases on Graft Preparation in Descemet Membrane Endothelial Keratoplasty
Conclusion: Although diabetic donors have been reported to be inappropriate candidates for the preparation of DM grafts for DMEK, most of the donors with several systemic diseases including diabetes can be used in DMEK surgery, with the right technique in DM graft preparation. (Source: Eye and Contact Lens: Science and Clinical Practice)
Source: Eye and Contact Lens: Science and Clinical Practice - November 24, 2022 Category: Opthalmology Tags: Article Source Type: research

Penetrating Keratoplasty Versus Descemet Stripping Automated Endothelial Keratoplasty in Children With Congenital Hereditary Endothelial Dystrophy: Long-Term Results
Conclusion: Endothelial keratoplasty is a safe alternative to conventional PKP in CHED. The visual outcome and survival rates were comparable, but DSAEK had a lower rejection rate and fewer suture-related complications. (Source: Eye and Contact Lens: Science and Clinical Practice)
Source: Eye and Contact Lens: Science and Clinical Practice - November 24, 2022 Category: Opthalmology Tags: Article Source Type: research

Reduction of Glare Discomfort and Photostress Recovery Time Through the Use of a High-Energy Visible–Filtering Contact Lens
Objectives: Glare discomfort (GDC) is the slight pain (discomfort) that arises when exposed to light that exceeds one's adaptive state. Such light can also cause a temporary loss in visual function (photostress, PS). We tested the hypothesis that filtering with a high-energy visible (HEV) light–filtering contact lens can reduce GDC and speed PS recovery time. Methods: Sixty-one subjects were randomized and fit with study lenses and 58 subjects completed as cohort (20–65 years of age). A double-masked, randomized, contralateral design was used (HEV filter on one eye; control lens on the other). Participants w...
Source: Eye and Contact Lens: Science and Clinical Practice - November 24, 2022 Category: Opthalmology Tags: Article Source Type: research

The Influence of HEV-Filtering Contact Lenses on Behavioral Indices of Glare
Objectives: We assessed the effects of a HEV-filtering contact lens on positive dysphotopsia (halos and starbursts) and a behavioral index of scatter measured using two-point light thresholds. These effects were assessed by direct comparison to a clear (i.e., non-HEV filtering) contact lens tested in the fellow eye. Methods: Sixty-one subjects were randomized and fit with study lenses and 58 subjects completed the study. A double-masked contralateral design was used. Subjects were randomized to test lens-OD, control lens-OS, or vice versa. Participants were exposed to a point source of broadband simulated sunlig...
Source: Eye and Contact Lens: Science and Clinical Practice - November 24, 2022 Category: Opthalmology Tags: Article Source Type: research

Corneal RGP Contact Lens Fitting Software for Keratoconus Built-In Anterior Segment Optical Coherence Tomography
Objective: To assess the performance of the contact lens fitting software built into anterior segment optical coherence tomography (AS-OCT). Methods: This retrospective study enrolled patients with keratoconus prescribed with spherical corneal rigid gas-permeable contact lenses based on a contact lens fitting software. Subjects were classified into four subgroups based on corneal morphology: nipple, oval, globus, and marginal type. Software performance was evaluated according to the correlation between the back optical zone radius (BOZR) calculated by the contact lens fitting program and the BOZR of the lens pre...
Source: Eye and Contact Lens: Science and Clinical Practice - November 24, 2022 Category: Opthalmology Tags: Article Source Type: research

Influence of Specialty Contact Lens Wear on Posterior Corneal Tomography in Keratoconus Subjects
Objective: To evaluate the effect of specialty contact lens (CL) wear on posterior corneal tomography in keratoconus subjects. Methods: Patients with keratoconus who were wearing specialty CL were included in this retrospective cohort study. Tomographic parameters were evaluated with Scheimpflug imaging (Pentacam HR) before lens fitting and immediately after removal of CLs worn habitually for a period of several months. Subjects were divided into groups, according to type of lens (corneal, scleral, and hybrid) and keratoconus severity based on Belin/Ambrosio D (BAD-D) score, for further analysis. Results: ...
Source: Eye and Contact Lens: Science and Clinical Practice - November 24, 2022 Category: Opthalmology Tags: Article Source Type: research

Prosthetic Replacement of the Ocular Surface Ecosystem for Limbal Stem Cell Deficiency: A Case Series
Conclusions: Prosthetic Replacement of the Ocular Surface Ecosystem may be a viable treatment for LSCD, including severe cases, because it can provide symptom relief and improve vision. Its customizability, as demonstrated in this study, is beneficial for troubleshooting issues with fitting. Future studies are needed to further assess PROSE as treatment for LSCD. (Source: Eye and Contact Lens: Science and Clinical Practice)
Source: Eye and Contact Lens: Science and Clinical Practice - November 24, 2022 Category: Opthalmology Tags: Article Source Type: research

Compounding of Low-Concentration Atropine for Myopia Control
Conclusions: There were a wide variety of formulation methods in the United States, which may affect atropine stability and potency. Similarly, there are a wide variety of storage and beyond-use recommendations. Further research is needed to assess how these variations may affect the efficacy and safety of low-concentration atropine and of myopia control. (Source: Eye and Contact Lens: Science and Clinical Practice)
Source: Eye and Contact Lens: Science and Clinical Practice - November 24, 2022 Category: Opthalmology Tags: Article Source Type: research

Ocular Impression-Based Scleral Lens With Wavefront-Guided Optics for Visual Improvement in Keratoconus
Abstract: This case reports on the use of wavefront-guided (wfg) optics on custom ocular impression-based scleral lenses (IBSLs) for visual improvement in a patient with keratoconus (KC). A 28-year-old man with KC, who had previously failed a traditional, diagnostically fit scleral lens (tSL), was fit with IBSLs with traditional optics. Using a system that included a dot matrix on the IBSL and a wavefront aberrometer with pupil and dot registration software, a wfgIBSL was created. When compared with the IBSL, the wfgIBSL reduced the total higher-order root mean square (HORMS) 67% and 64% in the right and left eye, resp...
Source: Eye and Contact Lens: Science and Clinical Practice - October 29, 2022 Category: Opthalmology Tags: Case Report Source Type: research

Gone Viral: A Cross-Sectional Analysis of Contact Lens-Related Videos on TikTok
Objectives: To evaluate the content, sources, and quality of contact lens (CL)-related videos on TikTok, the fastest growing social media platform worldwide. Methods: TikTok was queried on October 25, 2021 for the top 200 posts with the hashtag “#contactlenses.” Posts meeting inclusion criteria were characterized and assessed for quality with DISCERN, a validated scoring instrument for the appraisal of consumer health information (score range 1–5 with a higher score indicating a higher quality video). Results: The included 113 posts showed a mean quality of 1.94±0.44. Content included product displ...
Source: Eye and Contact Lens: Science and Clinical Practice - October 29, 2022 Category: Opthalmology Tags: Article Source Type: research

Prosthetic Replacement of the Ocular Surface Ecosystem for Terrien Marginal Degeneration: A Case Series
Conclusions: PROSE treatment can be an effective option to improve vision and comfort for patients with advanced TMD who are intolerant to first-line therapeutic CL modalities, even in the presence of other corneal comorbidities. (Source: Eye and Contact Lens: Science and Clinical Practice)
Source: Eye and Contact Lens: Science and Clinical Practice - October 29, 2022 Category: Opthalmology Tags: Article Source Type: research

Novel High-Resolution Imaging Using ANTERION Optical Coherence Tomography to Assess Fluid Reservoir Change in Scleral Lens Periphery
Objectives: To assess scleral lens fluid reservoir (FR) change simultaneously in four quadrants with single acquisition using novel ANTERION anterior segment swept-source optical coherence tomography (SS-OCT). Methods: A prospective, observational, clinical study of 18 subjects (30 eyes) was performed on adults fitted with a scleral lens for ocular surface disease (n=8), irregular cornea/scar (n=7), and corneal ectasia (n=15). ANTERION anterior segment SS-OCT imaging was obtained at the initial visit and at the follow-up to determine pre and post scleral lens settling, measured in microns, centrally and peripher...
Source: Eye and Contact Lens: Science and Clinical Practice - October 29, 2022 Category: Opthalmology Tags: Article Source Type: research

Tear Exchange, Intraocular Pressure, and Wear Characteristics of Quadrant-specific Versus Spherical Haptic Scleral Lenses
Conclusions: SLs with spherical or quadrant-specific landing zones provide good vision and do not affect IOP or corneal thickness. However, tear exchange is greater under spherical lenses than under quadrant-specific lenses. The quadrant-specific lens provides greater patient comfort. (Source: Eye and Contact Lens: Science and Clinical Practice)
Source: Eye and Contact Lens: Science and Clinical Practice - October 29, 2022 Category: Opthalmology Tags: Article Source Type: research