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Farklı endikasyonlarda terapötik kontakt lenslerin etkinliği

Year 2022, Volume: 47 Issue: 1, 389 - 396, 31.03.2022
https://doi.org/10.17826/cumj.1024078

Abstract

Amaç: Bu çalışmanın amacı farklı endikasyonlar için terapötik amaçlı yumuşak kontakt lens (TKL) uygulanan olgularda tedavi etkinliğini ve komplikasyonları incelemektir.
Gereç ve Yöntem: Aralık 2011 – Haziran 2020 tarihleri arasında TKL uygulanan olguların tıbbi kayıtları retrospektif olarak incelendi. Demografik özellikler, klinik endikasyonlar, tedavi öncesi ve sonrası en iyi düzeltilmiş görme keskinlikleri (EİDGK), tedavi sonrası klinik bulgularda iyileşme ve TKL ile ilişkili komplikasyonlar kaydedildi.
Bulgular: Yaşları 10-90 yıl arasında (ort. 56,08±21,18) değişen 86 olgunun (36 kadın, 50 erkek) 95 gözü çalışma kapsamına alındı. Tüm olgulara yumuşak silikon hidrojel kontakt lens (KL) uygulandı. Olguların ortalama TKL kullanım süresi 40±70,2 hafta idi (1 gün-416 hafta). TKL uygulaması için en sık endikasyonlar; büllöz keratopati (39 göz, %41,1), epitel defektleri (15 göz, %15,8) ve filamenter keratit (14 göz, %14,7) idi. TKL ile 45 gözde (%47,4) klinik bulgularda iyileşme, 30 gözde (%35,3) EİDGK’de artış saptandı. Komplikasyon olarak 8 gözde (%8,4) TKL kaybı ve 4 gözde (%4,2) mikrobiyal keratit gelişimi gözlendi. Nörotrofik kornea ülserli 10 gözde (%90,9), filamenter keratitli 11 gözde (%78,6) ve epitel defektli 10 gözde (%66,7) klinik bulgularda iyileşme saptandı. Kornea bulgularındaki iyileşmeyle paralel olarak filamenter keratitli 10 gözde (%71,4), epitel defektli 6 gözde (%40) ve nörotrofik kornea ülserli 3 gözde (%30) EİDGK’de artış saptandı.
Sonuç: Uygun endikasyonlarda TKL kullanımı klinik iyileşmeye yardımcı, cerrahi girişim gereksinimini azaltabilen başarılı bir uygulamadır.

References

  • Gasset A, Kaufman H. Therapeutic uses of hydrophilic contact lenses. Am J Ophthalmol. 1970;69:252–9.
  • Ozkurt Y, Rodop O, Oral Y, Cömez A, Kandemir B, Doğan OK. Therapeutic applications of lotrafilcon a silicone hydrogel soft contact lenses. Eye Contact Lens. 2005;31:268-9.
  • Montero J, Sparholt J, Mely R. Retrospective case series of therapeutic applications of a lotrafilcon A silicone hydrogel soft contact lens. Eye Contact Lens. 2003;29:54-6.
  • Ambroziak AM, Szaflik JP, Szaflik J. Therapeutic use of a silicone hydrogel contact lens in selected clinical cases. Eye Contact Lens. 2004;30:63-7.
  • Baradaran-Rafii A, Eslani M, Haq Z, Shirzadeh E, Huvard MJ, Djalilian AR. Current and upcoming therapies for ocular surface chemical injuries. Ocul Surf. 2017;15:48-64.
  • John T, Mobilia E, Kenyon KR. Therapeutic soft contact lenses. In: Contact Lens Practice (Ed M Ruben):889–912, London, Chapman Hall, 1994.
  • Nau CB, Harthan J, Shorter E, Barr J, Nau A, Chimato NT et al. Demographic characteristics and prescribing patterns of scleral lens fitters: the SCOPE study. Eye Contact Lens. 2018;44:265–72.
  • Jacobs DS, Carrasquillo KG, Cottrell PD, Fernández-Velázquez FJ, Gil-Cazorla R, Jalbert I et al. CLEAR - Medical use of contact lenses. Cont Lens Anterior Eye. 2021;44:289-329.
  • Lim L, Lim EWL. Therapeutic contact lenses in the treatment of corneal and ocular surface diseases-A review. Asia Pac J Ophthalmol (Phila). 2020;9:524-32.
  • Arora R, Jain S, Monga S, Narayanan R, Raina UK, Mehta DK. Efficacy of continuous wear PureVision contact lenses for therapeutic use. Cont Lens Anterior Eye. 2004;27:39-43.
  • Miller DD, Hasan SA, Simmons NL, Stewart MW. Recurrent corneal erosion: a comprehensive review. Clin Ophthalmol. 2019;13:325-35.
  • Kanpolat A, Uçakhan OO. Therapeutic use of Focus Night & Day contact lenses. Cornea. 2003;22:726-34.
  • Compañ V, Andrio A, López-Alemany A, Riande E, Refojo MF. Oxygen permeability of hydrogel contact lenses with organosilicon moieties. Biomaterials. 2002;23:2767-72.
  • Lim L, Tan DT, Chan WK. Therapeutic use of Bausch & Lomb PureVision contact lenses. CLAO J. 2001;27:179–85.
  • Karlgard C, Jones L, Moresoli C. Uptake and release of Ciloxan from silicone hydrogel and conventional hydrogel contact lens materials. Optom Vis Sci. 2001;78:202.
  • Caroline PJ, Andre MP. When the eye needs a bandage. Contact Lens Spectrum 2001;16:56.
  • Shafran T, Gleason W, Osborn Lorenz K, Szczotka-Flynn LB. Application of senofilcon A contact lenses for therapeutic bandage lens indications. Eye Contact Lens. 2013;39:315–23.
  • IBM Corp. Released 2011. IBM SPSS Statistics for Windows, Version 20.0. Armonk, NY: IBM Corp.
  • Lindahl KJ, DePaolis MD, Aquavella JV, Temnycky GO, Erdey RA. Applications of hydrophilic disposable contact lenses as therapeutic bandages. CLAO J. 1991;17:241-3.
  • Yıldız Taşcı Y, Gürdal C, Saraç Ö, Aşık Nacaroğlu Ş. Silikon hidrojel kontakt lenslerin oküler yüzeye ve gözyaşı fonksiyon testlerine uzun dönem etkileri. Turk Oftalmoloji Dergisi. 2014;44:201-6.
  • 21.Sun YZ, Guo L, Zhang FS. Curative effect assessment of bandage contact lens in neurogenic keratitis. Int J Ophthalmol. 2014;7:980-3.
  • Engle AT, Laurent JM, Schallhorn SC, Toman SD, Newacheck JS, Tanzer DJ et al. Masked comparison of silicone hydrogel lotrafilcon A and etafilcon A extended-wear bandage contact lenses after photorefractive keratectomy. J Cataract Refract Surg. 2005;31:681–6.
  • Xie WJ, Zeng J, Cui Y, Li J, Li ZM, Liao WX et al. Comparation of effectiveness of silicone hydrogel contact lens and hydrogel contact lens in patients after LASEK. Int J Ophthalmol. 2015;18:1131-5.
  • Orhan M, Abbasoğlu OE, Irkec M. Kornea hastalıklarında terapötik yumuşak lens ve kollajen lens uygulanması. T Klin Oft 1994;3:281-5.
  • İskeleli G, Yolar M. Disposıbl yumuşak kontakt lenslerin terapötik amaçlı kullanımı ve komplikasyonlar. MN Oft 1996;3:18-21.
  • Rashad R, Weed MC, Quinn N, Chen VM. Extended wear bandage contact lenses decrease pain and preserve vision in patients with epidermolysis bullosa: case series and review of literature. Ocul Immunol Inflamm. 2020;28:379-83.
  • Hovding G. Hydrophilic contact lenses in corneal disorders. Acta Ophthalmol. 1984; 62:566-76.
  • Vaidyanathan U, Hopping GC, Liu HY, Somani AN, Ronquillo YC, Hoopes PC, et al. Persistent corneal epithelial defects: a review article. Med Hypothesis Discov Innov. Ophthalmol J. 2019;8:163–76.
  • Katzman L, Jeng B. Management strategies for persistent epithelial defects of the cornea. Saudi J Ophthalmol. 2014;28:168–72.
  • Kymionis G, Liakopoulos D, Grentzelos M, Diakonis V, Klados N, Tsoulnaras K et al. Combined topical application of a regenerative agent with a bandage contact lens for the treatment of persistent epithelial defects. Cornea. 2014;33:868–72.
  • Riedl JC, Musayeva A, Wasielica-Poslednik J, Pfeiffer N, Gericke A. Allogenic simple limbal epithelial transplantation (alloSLET) from cadaveric donor eyes in patients with persistent corneal epithelial defects. Br J Ophthalmol. 2021;105:180–5.
  • Lee YK, Lin YC, Tsai SH, Chen WL, Chen YM. Therapeutic outcomes of combined topical autologous serum eye drops with silicone–hydrogel soft contact lenses in the treatment of corneal persistent epithelial defects: a preliminary study. Contact Lens Anterior Eye. 2016;39:425–30.
  • Albietz J, Sanfilippo P, Troutbeck R, Lenton LM. Management of filamentary keratitis associated with aqueous-deficient dry eye. Optom Vis Sci. 2003;80:420–30.
  • Uçakhan O, Yanik O. The use of bandage contact lenses in adenoviral keratoconjunctivitis. Eye Contact Lens. 2016;42:388–91.
  • Sun YZ, Guo L, Zhang FS. Curative effect assessment of bandage contact lens in neurogenic keratitis. Int J Ophthalmol. 2014;7:980-3.
  • Reynolds SA, Kabat AG. Therapeutic options for the management of early neurotrophic keratopathy: a case report and review. Optometry. 2006;77:503–7.
  • Ardalı EG, Arslan MO. 45 vakada terapötik lens kullanımı ve sonuçları. T Oft Gaz. 1988;18:567-72.
  • Dua HS, Said DG, Messmer EM, Rolando M, Benitez-del-Castillo JM, Hossain PN et al. Neurotrophic keratopathy. Prog Retin Eye Res. 2018;66:107–31.
  • Dohlman CH. Physiology of the cornea. In: The Cornea (Eds G Smolin, RA Thoft): 3-16. Boston, Little, Brown, 1987.
  • Temel A. Terapötik lensler. T Klin Oft. 1995;4:374-9.
  • Hugkulstone CE. Use of a bandage contact lens in perforating injuries of the cornea. J Royal Soc Med. 1992;85:322-3.
  • Ramjiani V, Fearnley T, Tan J. A bandage contact lens prevents extrusion of ocular contents. Contact Lens Anterior Eye. 2016;39:78–9.
  • Wu Z, Huang C, Huang Y, Zhang W, Ma D. Soft bandage contact lenses in management of early bleb leak following trabeculectomy. Eye Sci. 2015;30:13–7.
  • Baum J, Dabezies Jr . Pathogenesis and treatment of sterile midperipheral corneal infiltrates associated with soft contact lens use. Cornea. 2000;19:777–81.
  • Bendoriene J, Vogt U. Therapeutic use of silicone hydrogel contact lenses in children. Eye Contact Lens. 2006;32:104-8.
  • Stapleton F, Keay L, Edwards K, Naduvilath T, Dart JK, Brian G et al. The incidence of contact lens-related microbial keratitis in Australia. Ophthalmology. 2008;115:1655-62.
  • Saini A, Rapuano CJ, Laibson PR, Cohen EJ, Hammersmith KM. Episodes of microbial keratitis with therapeutic silicone hydrogel bandage soft contact lenses. Eye Contact Lens. 2013;39:324–8.

Efficacy of therapeutic contact lenses in different indications

Year 2022, Volume: 47 Issue: 1, 389 - 396, 31.03.2022
https://doi.org/10.17826/cumj.1024078

Abstract

Purpose: The aim of this study was o examine the efficacy and complications of treatment in cases where therapeutic soft contact lenses (TCL) are applied for different indications.
Materials and Methods: The medical records of the cases who fitted with TCL between December 2011 and June 2020 were reviewed retrospectively. Demographic characteristics, clinical indications, best corrected visual acuity (BCVA) before and after treatment, improvement in clinical findings after treatment, and complications associated with TCL were recorded.
Results: Ninety-five eyes of 86 cases (36 females, 50 males) aged between 10-90 years (mean 56.08±21.18 years) were included in the study. Soft silicone hydrogel contact lens (CL) was applied to all cases. The mean duration of TCL use was 40±70.2 weeks (1 day-416 weeks). The most common indications were; bullous keratopathy (39 eyes, 41.1%), epithelial defects (15 eyes, 15.8%), and filamentary keratitis (14 eyes, 14.7%). With TCL, clinical findings improved in 45 eyes (47.4%) and BCVA increased in 30 eyes (35.3%). Complications were; loss of TCL in 8 eyes (8.4%) and development of microbial keratitis in 4 eyes (4.2%). Clinical findings improved in 10 eyes (90.9%) with neurotrophic corneal ulcers, 11 eyes (78.6%) with filamentary keratitis, and 10 eyes (66.7%) with epithelial defects. Parallel to the improvement in corneal findings, BCVA increased in 10 eyes (71.4%) with filamentary keratitis, 6 eyes (40%) with epithelial defects, and 3 eyes (30%) with neurotrophic corneal ulcers.
Conclusion: The use of TCL in appropriate indications is a successful application that can help clinical recovery and reduce the need for surgical intervention.

References

  • Gasset A, Kaufman H. Therapeutic uses of hydrophilic contact lenses. Am J Ophthalmol. 1970;69:252–9.
  • Ozkurt Y, Rodop O, Oral Y, Cömez A, Kandemir B, Doğan OK. Therapeutic applications of lotrafilcon a silicone hydrogel soft contact lenses. Eye Contact Lens. 2005;31:268-9.
  • Montero J, Sparholt J, Mely R. Retrospective case series of therapeutic applications of a lotrafilcon A silicone hydrogel soft contact lens. Eye Contact Lens. 2003;29:54-6.
  • Ambroziak AM, Szaflik JP, Szaflik J. Therapeutic use of a silicone hydrogel contact lens in selected clinical cases. Eye Contact Lens. 2004;30:63-7.
  • Baradaran-Rafii A, Eslani M, Haq Z, Shirzadeh E, Huvard MJ, Djalilian AR. Current and upcoming therapies for ocular surface chemical injuries. Ocul Surf. 2017;15:48-64.
  • John T, Mobilia E, Kenyon KR. Therapeutic soft contact lenses. In: Contact Lens Practice (Ed M Ruben):889–912, London, Chapman Hall, 1994.
  • Nau CB, Harthan J, Shorter E, Barr J, Nau A, Chimato NT et al. Demographic characteristics and prescribing patterns of scleral lens fitters: the SCOPE study. Eye Contact Lens. 2018;44:265–72.
  • Jacobs DS, Carrasquillo KG, Cottrell PD, Fernández-Velázquez FJ, Gil-Cazorla R, Jalbert I et al. CLEAR - Medical use of contact lenses. Cont Lens Anterior Eye. 2021;44:289-329.
  • Lim L, Lim EWL. Therapeutic contact lenses in the treatment of corneal and ocular surface diseases-A review. Asia Pac J Ophthalmol (Phila). 2020;9:524-32.
  • Arora R, Jain S, Monga S, Narayanan R, Raina UK, Mehta DK. Efficacy of continuous wear PureVision contact lenses for therapeutic use. Cont Lens Anterior Eye. 2004;27:39-43.
  • Miller DD, Hasan SA, Simmons NL, Stewart MW. Recurrent corneal erosion: a comprehensive review. Clin Ophthalmol. 2019;13:325-35.
  • Kanpolat A, Uçakhan OO. Therapeutic use of Focus Night & Day contact lenses. Cornea. 2003;22:726-34.
  • Compañ V, Andrio A, López-Alemany A, Riande E, Refojo MF. Oxygen permeability of hydrogel contact lenses with organosilicon moieties. Biomaterials. 2002;23:2767-72.
  • Lim L, Tan DT, Chan WK. Therapeutic use of Bausch & Lomb PureVision contact lenses. CLAO J. 2001;27:179–85.
  • Karlgard C, Jones L, Moresoli C. Uptake and release of Ciloxan from silicone hydrogel and conventional hydrogel contact lens materials. Optom Vis Sci. 2001;78:202.
  • Caroline PJ, Andre MP. When the eye needs a bandage. Contact Lens Spectrum 2001;16:56.
  • Shafran T, Gleason W, Osborn Lorenz K, Szczotka-Flynn LB. Application of senofilcon A contact lenses for therapeutic bandage lens indications. Eye Contact Lens. 2013;39:315–23.
  • IBM Corp. Released 2011. IBM SPSS Statistics for Windows, Version 20.0. Armonk, NY: IBM Corp.
  • Lindahl KJ, DePaolis MD, Aquavella JV, Temnycky GO, Erdey RA. Applications of hydrophilic disposable contact lenses as therapeutic bandages. CLAO J. 1991;17:241-3.
  • Yıldız Taşcı Y, Gürdal C, Saraç Ö, Aşık Nacaroğlu Ş. Silikon hidrojel kontakt lenslerin oküler yüzeye ve gözyaşı fonksiyon testlerine uzun dönem etkileri. Turk Oftalmoloji Dergisi. 2014;44:201-6.
  • 21.Sun YZ, Guo L, Zhang FS. Curative effect assessment of bandage contact lens in neurogenic keratitis. Int J Ophthalmol. 2014;7:980-3.
  • Engle AT, Laurent JM, Schallhorn SC, Toman SD, Newacheck JS, Tanzer DJ et al. Masked comparison of silicone hydrogel lotrafilcon A and etafilcon A extended-wear bandage contact lenses after photorefractive keratectomy. J Cataract Refract Surg. 2005;31:681–6.
  • Xie WJ, Zeng J, Cui Y, Li J, Li ZM, Liao WX et al. Comparation of effectiveness of silicone hydrogel contact lens and hydrogel contact lens in patients after LASEK. Int J Ophthalmol. 2015;18:1131-5.
  • Orhan M, Abbasoğlu OE, Irkec M. Kornea hastalıklarında terapötik yumuşak lens ve kollajen lens uygulanması. T Klin Oft 1994;3:281-5.
  • İskeleli G, Yolar M. Disposıbl yumuşak kontakt lenslerin terapötik amaçlı kullanımı ve komplikasyonlar. MN Oft 1996;3:18-21.
  • Rashad R, Weed MC, Quinn N, Chen VM. Extended wear bandage contact lenses decrease pain and preserve vision in patients with epidermolysis bullosa: case series and review of literature. Ocul Immunol Inflamm. 2020;28:379-83.
  • Hovding G. Hydrophilic contact lenses in corneal disorders. Acta Ophthalmol. 1984; 62:566-76.
  • Vaidyanathan U, Hopping GC, Liu HY, Somani AN, Ronquillo YC, Hoopes PC, et al. Persistent corneal epithelial defects: a review article. Med Hypothesis Discov Innov. Ophthalmol J. 2019;8:163–76.
  • Katzman L, Jeng B. Management strategies for persistent epithelial defects of the cornea. Saudi J Ophthalmol. 2014;28:168–72.
  • Kymionis G, Liakopoulos D, Grentzelos M, Diakonis V, Klados N, Tsoulnaras K et al. Combined topical application of a regenerative agent with a bandage contact lens for the treatment of persistent epithelial defects. Cornea. 2014;33:868–72.
  • Riedl JC, Musayeva A, Wasielica-Poslednik J, Pfeiffer N, Gericke A. Allogenic simple limbal epithelial transplantation (alloSLET) from cadaveric donor eyes in patients with persistent corneal epithelial defects. Br J Ophthalmol. 2021;105:180–5.
  • Lee YK, Lin YC, Tsai SH, Chen WL, Chen YM. Therapeutic outcomes of combined topical autologous serum eye drops with silicone–hydrogel soft contact lenses in the treatment of corneal persistent epithelial defects: a preliminary study. Contact Lens Anterior Eye. 2016;39:425–30.
  • Albietz J, Sanfilippo P, Troutbeck R, Lenton LM. Management of filamentary keratitis associated with aqueous-deficient dry eye. Optom Vis Sci. 2003;80:420–30.
  • Uçakhan O, Yanik O. The use of bandage contact lenses in adenoviral keratoconjunctivitis. Eye Contact Lens. 2016;42:388–91.
  • Sun YZ, Guo L, Zhang FS. Curative effect assessment of bandage contact lens in neurogenic keratitis. Int J Ophthalmol. 2014;7:980-3.
  • Reynolds SA, Kabat AG. Therapeutic options for the management of early neurotrophic keratopathy: a case report and review. Optometry. 2006;77:503–7.
  • Ardalı EG, Arslan MO. 45 vakada terapötik lens kullanımı ve sonuçları. T Oft Gaz. 1988;18:567-72.
  • Dua HS, Said DG, Messmer EM, Rolando M, Benitez-del-Castillo JM, Hossain PN et al. Neurotrophic keratopathy. Prog Retin Eye Res. 2018;66:107–31.
  • Dohlman CH. Physiology of the cornea. In: The Cornea (Eds G Smolin, RA Thoft): 3-16. Boston, Little, Brown, 1987.
  • Temel A. Terapötik lensler. T Klin Oft. 1995;4:374-9.
  • Hugkulstone CE. Use of a bandage contact lens in perforating injuries of the cornea. J Royal Soc Med. 1992;85:322-3.
  • Ramjiani V, Fearnley T, Tan J. A bandage contact lens prevents extrusion of ocular contents. Contact Lens Anterior Eye. 2016;39:78–9.
  • Wu Z, Huang C, Huang Y, Zhang W, Ma D. Soft bandage contact lenses in management of early bleb leak following trabeculectomy. Eye Sci. 2015;30:13–7.
  • Baum J, Dabezies Jr . Pathogenesis and treatment of sterile midperipheral corneal infiltrates associated with soft contact lens use. Cornea. 2000;19:777–81.
  • Bendoriene J, Vogt U. Therapeutic use of silicone hydrogel contact lenses in children. Eye Contact Lens. 2006;32:104-8.
  • Stapleton F, Keay L, Edwards K, Naduvilath T, Dart JK, Brian G et al. The incidence of contact lens-related microbial keratitis in Australia. Ophthalmology. 2008;115:1655-62.
  • Saini A, Rapuano CJ, Laibson PR, Cohen EJ, Hammersmith KM. Episodes of microbial keratitis with therapeutic silicone hydrogel bandage soft contact lenses. Eye Contact Lens. 2013;39:324–8.
There are 47 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Research
Authors

Münir Karayel This is me 0000-0002-7003-7840

İbrahim İnan Harbiyeli 0000-0003-2586-1096

Begüm Sulanç This is me 0000-0002-3819-0589

Elif Erdem 0000-0002-3157-6913

Meltem Yağmur 0000-0002-7581-8056

Publication Date March 31, 2022
Acceptance Date February 22, 2022
Published in Issue Year 2022 Volume: 47 Issue: 1

Cite

MLA Karayel, Münir et al. “Farklı Endikasyonlarda terapötik Kontakt Lenslerin etkinliği”. Cukurova Medical Journal, vol. 47, no. 1, 2022, pp. 389-96, doi:10.17826/cumj.1024078.