Improved contact lens fitting after corneal cross-linking in eyes with progressive keratoconus

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dc.contributor.authorIsik, Puren
dc.contributor.authorHarbiyeli, Ibrahim Inan
dc.contributor.authorErdem, Elif
dc.contributor.authorYagmur, Meltem
dc.date.accessioned2024-11-07T13:34:05Z
dc.date.available2024-11-07T13:34:05Z
dc.date.issued2022
dc.departmentNiğde Ömer Halisdemir Üniversitesi
dc.description.abstractObjectives: The study aimed to assess the possible effects of corneal cross-linking (CXL) on contact lens (CL) fitting in patients with progressive keratoconus who initially had CL intolerance. Methods: A retrospective review was performed of the medical records of patients who had stopped CL wear due to discomfort prior to CXL and who were fitted with CLs after CXL. All eyes were evaluated pre- and 1, 6, 12, 24 months postoperatively. Data collected included pre- and post-CXL refraction, corneal topographic data, uncorrected visual acuity, and best-corrected visual acuity (BCVA). CL comfort was evaluated using the Likert scale post-CXL. Results: A total of 20 eyes from 14 patients were included in the study. Preoperative Kmax values significantly decreased by 2.8 D at 6 months and by 4.1 D at 12 months after CXL (p < 0.001 for both). CLs were prescribed on average 12 +/- 2.5 months after CXL. The mean duration of successful CL wear was 10.4 +/- 2.8 months during the follow-up period. Subjective CL comfort scores were satisfactory post-CXL. Conclusion: CXL not only halts the progression of keratoconus but may also improve CL tolerance by providing a more regular shaped cornea in these patients. Ongoing corneal topographic changes in the late postoperative period after CXL may have a positive effect on CL fitting.
dc.identifier.doi10.1016/j.clae.2021.101488
dc.identifier.issn1367-0484
dc.identifier.issn1476-5411
dc.identifier.issue3
dc.identifier.pmid34362662
dc.identifier.scopus2-s2.0-85111935471
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1016/j.clae.2021.101488
dc.identifier.urihttps://hdl.handle.net/11480/15783
dc.identifier.volume45
dc.identifier.wosWOS:000971419200007
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier
dc.relation.ispartofContact Lens & Anterior Eye
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20241106
dc.subjectContact lens
dc.subjectCross-linking
dc.subjectKeratoconus
dc.titleImproved contact lens fitting after corneal cross-linking in eyes with progressive keratoconus
dc.typeArticle

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