Objective:
To report the fitting of corneal GP lenses in a post-radial keratotomy patient with glaucoma and corneal edema, highlighting the significance of tailored lens selection.
Key Findings:
- Final BCVA improved to 20/30 OD and 20/25 OS, indicating effective visual rehabilitation.
- Patient reported excellent comfort (9/10) with 9-10 hours of daily wear, suggesting successful lens fitting.
- IOP remained stable (19 mmHg OD, 18 mmHg OS), crucial for glaucoma management.
Interpretation:
Corneal GP lenses with reverse geometry provided effective visual rehabilitation while maintaining IOP control and endothelial health in a complex case.
Limitations:
- Scleral lenses were contraindicated, limiting options for lens fitting and potentially affecting long-term outcomes.
- Long-term outcomes beyond 6 months are not reported, which may impact the assessment of lens effectiveness.
Conclusion:
A multidisciplinary approach and careful lens selection are crucial for successful contact lens fitting in post-RK patients with glaucoma and corneal edema, emphasizing the need for ongoing collaboration among specialists.
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