Miniscleral lenses in the treatment of patients with dry eye syndrome (first own experience)

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Abstract

Background. Scleral lenses, due to their benefits, hold a specific position among all types of contact lenses. Some years ago, they began to be used successfully not only for the correction of complex types of refractive errors, when other types of correction failed to achieve satisfactory visual function and visual rehabilitation of patients, but also as a therapeutic system in the management of ocular surface disease.

Purpose. To evaluate the efficacy of rigid gas permeable miniscleral contact lenses as a therapeutic system in the management of patients with dry eye syndrome by filling the space under the lens with a non-preserved sodium hyaluronate solution.

Materials and methods. In the study, 7 patients (11 eyes) with keratectasias after corneal surgery and concomitant dry eye syndrome were included. In the treatment and rehabilitation of these patients, miniscleral contact lenses were used during daytime with additional filling of the space under the lens with a non-preserved sodium hyaluronate solution.

Results. As a criterion of the effectiveness of miniscleral contact lens use for therapeutic purposes, along with a significant increase in visual function in patients with complex corneal pathology, the elimination of discomfort due to restoration of the corneal epithelium integrity and improvement of their quality of life is considered.

About the authors

Karolina Fedotova

Academician I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of the Russian Federation

Author for correspondence.
Email: karo-luna@mail.ru
ORCID iD: 0000-0002-8062-3827
SPIN-code: 6935-9837
ResearcherId: Y-8542-2018

MD, Postgraduate Research Student, Ophthalmology Department

Saint-Petersburg

Valeriy R. Grabovetsky

Academician I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of the Russian Federation

Email: grabdoctor@yandex.ru

MD, PhD, Ophthalmologist

Russian Federation, Saint-Petersburg

Sergey A. Novikov

Academician I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of the Russian Federation

Email: serg2705@yandex.ru

MD, PhD, DMedSc, Professor, Ophthalmology Department

Russian Federation, Saint-Petersburg

Maggie Ezugbaya

Academician I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of the Russian Federation

Email: Maggie-92@mail.ru

Clinical Resident, Ophthalmology Department

Russian Federation, Saint-Petersburg

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2. Fig. 1. A method for cornea saturation with a photosensitizer using a miniscleral lens: a – the posterior aspect of the miniscleral lens is filled with photosensitizer solution; b – regular distribution of the photosensitizer over the entire surface of the cornea; с – biomicroscopic image – the arrow shows the space under the lens filled with photosensitizer

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3. Fig. 2. Cornea of the right eye in a patient with a secondary keratectasia before miniscleral lens wear: a – corneal punctuate epitheliopathy (fluorescein staining); b – biomicroscopy with a blue cobalt filter

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4. Fig. 3. Cornea of the right eye in a patient with a secondary keratectasia after one month wear of miniscleral lens filled with non-preserved solution of sodium hyaluronate: a – significant decrease in corneal punctuate epitheliopathy (fluorescein staining); b – biomicroscopy with a blue cobalt filter

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Copyright (c) 2019 Fedotova K., Grabovetsky V.R., Novikov S.A., Ezugbaya M.

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This work is licensed under a Creative Commons Attribution 4.0 International License.
 


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