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

封面

如何引用文章

详细

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.

作者简介

Karolina Fedotova

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

编辑信件的主要联系方式.
Email: karo-luna@mail.ru
ORCID iD: 0000-0002-8062-3827
SPIN 代码: 6935-9837
Researcher ID: Y-8542-2018

MD, Postgraduate Research Student, Ophthalmology Department

Saint-Petersburg

Valeriy 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

俄罗斯联邦, Saint-Petersburg

Sergey 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

俄罗斯联邦, 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

俄罗斯联邦, Saint-Petersburg

参考

  1. Новиков С.А., Рейтузов В.А. История очков и контактных линз: от истоков до производства жёстких контактных линз // Современная оптометрия. – 2009. – № 7. – С. 43–47. [Novikov SA, Reytuzov VA. The history of spectacles and contact lenses: from the beginning to rigid contact lenses. Sovremennaya optometriya. 2009;(7):43-47. (In Russ.)]
  2. Shorter E, Harthan J, Nau CB, et al. Scleral lenses in the management of corneal irregularity and ocular surface disease. Eye Contact Lens. 2018;44(6):372-8. https://doi.org/10.1097/ICL.0000000000000436.
  3. Nau CB, Harthan J, Shorter E, et al. Demographic characteristics and prescribing patterns of scleral lens fitters: The SCOPE study. Eye Contact Lens. 2018;44 Suppl 1: S 265-S 272. https://doi.org/10.1097/ICL.0000000000000399.
  4. Fadel D. Modern scleral lenses: Mini versus large. Cont Lens Anterior Eye. 2017;40(4):200-7. https://doi.org/10.1016/j.clae.2017.04.003.
  5. Папанян С.С., Федотова, К., Грабовецкий В.Р., и др. Опыт применения жёстких газопроницаемых склеральных контактных линз у пациентов с низкими зрительными функциями // Современная оптометрия. – 2017. – № 5. – С. 10–16. [Papanyan SS, Fedotova K, Grabovetsky VR, et al. Experience in the use of rigid gas permeable scleral contact lenses in patients with low visual functions. Sovremennaya optometriya. 2017;(5):10-16. (In Russ.)]
  6. Alipour F, Kheirkhah A, Jabarvand Behrouz M. Use of mini scleral contact lenses in moderate to severe dry eye. Cont Lens Anterior Eye. 2012;35(6):272-276. https://doi.org/10.1016/j.clae.2012.07.006.
  7. Bavinger JC, DeLoss K, Mian SI. Scleral lens use in dry eye syndrome. Curr Opin Ophthalmol. 2015;26(4):319-324. https://doi.org/10.1097/ICU.0000000000000171.
  8. Jones L, Downie LE, Korb D, et al. TFOS DEWS II Management and Therapy Report. Ocul Surf. 2017;15(3):575-628. https://doi.org/10.1016/j.jtos.2017.05.006.
  9. Tougeron-Brousseau B, Delcampe A, Gueudry J, et al. Vision-related function after scleral lens fitting in ocular complications of Stevens-Johnson syndrome and toxic epidermal necrolysis. Am J Ophthalmol. 2009;148(6):852-9 e852. https://doi.org/10.1016/j.ajo.2009.07.006.
  10. Foulks GN, Forstot SL, Donshik PC, et al. Clinical guidelines for management of dry eye associated with Sjogren disease. Ocul Surf. 2015;13(2):118-132. https://doi.org/10.1016/j.jtos.2014.12.001.
  11. Grey F, Carley F, Biswas S, Tromans C. Scleral contact lens management of bilateral exposure and neurotrophic keratopathy. Cont Lens Anterior Eye. 2012;35(6):288-91. https://doi.org/10.1016/j.clae.2012.07.009.
  12. Ciralsky JB, Chapman KO, Rosenblatt MI, et al. Treatment of refractory persistent corneal epithelial defects: A standardized approach using continuous wear PROSE therapy. Ocul Immunol Inflamm. 2014;23(3):219-224. https://doi.org/10.3109/09273948.2014.894084.
  13. La Porta Weber S, Becco de Souza R, Gomes JAP, Hofling-Lima AL. The use of the esclera scleral contact lens in the treatment of moderate to severe dry eye disease. Am J Ophthalmol. 2016;163:167-173.e161. https://doi.org/10.1016/j.ajo.2015.11.034.
  14. Jones L, Downie LE, Korb D, et al. TFOS DEWS II management and therapy report. Ocul Surf. 2017;15(3):575–628. https://doi.org/10.1016/j.jtos.2017.05.006.
  15. Данилов П.А., Новиков С.А. Терапевтические контактные линзы: области применения и новые возможности использования // Современная оптометрия. – 2016. – № 7. – С. 13–22. [Danilov PA, Novikov SA. Therapeutic contact lenses: applications and new use possibilities. Sovremennaya optometriya. 2016;(7):13-22. (In Russ.)]
  16. Офтальмология. Фармакотерапия без ошибок. Руководство для врачей / Под ред. Ю.С. Астахова, В.П. Николаенко. – М.: Е-ното, 2016. [Oftal’mologiya: Farmakoterapiya bez oshibok. Rukovodstvo dlya vrachey. Ed by Y.S. Astakhova, V.P. Nikolaenko. Moscow: E-noto; 2016. (In Russ.)]
  17. Кольцов А.А., Новиков С.А., Рейтузов В.А. Лечебные мягкие контактные линзы: классификация, показания к применению и перспективы. Часть I. История, механизмы достижения терапевтического эффекта, вопросы классификации // Современная оптометрия. – 2013. – № 3. – С. 9–15. [Koltsov AA, Novikov SA, Reytuzov VA. Therapeutic soft contact lenses: classification, indications and their future. Part I. History, mechanisms of therapeutic effect, discussion of classification. Sovremennaya optometriya. 2013;(3):9-15. (In Russ.)]
  18. Даниличев В.Ф., Иванчев С.С., Новиков С.А., и др. О введении антибиотиков в ткани глаза при помощи лечебных мягких контактных линз // Современная оптометрия. – 2007. – № 9. – С. 11–15. [Danilichev VA, Ivanchev SS, Novikov SA, et al. Justification of reasonability of introduction of antibiotics into ocular tissues with application of soft contact lenses. Sovremennaya optometriya. 2007;(10):11-15. (In Russ.)]
  19. Даниличев В.Ф., Новиков С.А., Павлюченко В.Н., и др. Мягкая контактная линза как средство для введения фармакологических препаратов в ткани глаза // Современная оптометрия. – 2009. – № 8. – С. 22–28. [Danilichev VA, Novikov SA, Pavlyuchenko VN, et al. Soft contact lens as a device for the drug delivery into eye tissues. Sovremennaya optometriya. 2009;(8):22-28. (In Russ.)]
  20. Lim P, Ridges R, Jacobs DS, Rosenthal P. Treatment of persistent corneal epithelial defect with overnight wear of a prosthetic device for the ocular surface. Am J Ophthalmol. 2013;156(6):1095-1101. https://doi.org/10.1016/j.ajo.2013.06.006.
  21. Rosenthal P, Cotter JM, Baum J. Treatment of persistent corneal epithelial defect with extended wear of a fluid-ventilated gas-permeable scleral contact lens. Am J Ophthalmol. 2000;130(1):33-41. https://doi.org/10.1016/s0002-9394(00)00379-2.
  22. Rosenthal P, Croteau A. Fluid-ventilated, gas-permeable scleral contact lens is an effective option for managing severe ocular surface disease and many corneal disorders that would otherwise require penetrating keratoplasty. Eye Contact Lens. 2005;31(3):130-134. https://doi.org/10.1097/01.icl.0000152492.98553.8d.
  23. Ling JD, Gire A, Pflugfelder SC. PROSE therapy used to minimize corneal trauma in patients with corneal epithelial defects. Am J Ophthalmol. 2013;155(4):615-619,619.e611-612. https://doi.org/10.1016/j.ajo.2012.09.033.
  24. Lim M, Jacobs DS, Rosenthal P, Carrasquillo KG. The Boston Ocular Surface Prosthesis as a novel drug delivery system for bevacizumab. Semin Ophthalmol. 2009;24(3):149-155. https://doi.org/10.1080/08820530902802013.
  25. Yuksel E, Bilgihan K, Novruzlu S, et al. The management of refractory dry eye with semi-scleral contact lens. Eye Contact Lens. 2018;44(3):e10-e12. https://doi.org/10.1097/ICL.0000000000000267.
  26. Laballe R, Vigne J, Denion E, et al. Preclinical assessment of scleral lens as a reservoir-based ocular therapeutic system. Cont Lens Anterior Eye. 2016;39(5):394-6. https://doi.org/10.1016/j.clae.2016.04.008.

补充文件

附件文件
动作
1. JATS XML

版权所有 © Fedotova K., Grabovetsky V.R., Novikov S.A., Ezugbaya M., 2019

Creative Commons License
此作品已接受知识共享署名 4.0国际许可协议的许可
 


##common.cookie##