Publications

Detailed Information

Long-term effect of corneoscleral contact lenses on refractory ocular surface diseases

DC Field Value Language
dc.contributor.authorLee, Sang-Mok-
dc.contributor.authorKim, Yu Jeong-
dc.contributor.authorChoi, Se Hyun-
dc.contributor.authorOh, Joo Youn-
dc.contributor.authorKim, Mee Kum-
dc.creator오주연-
dc.date.accessioned2020-01-23T07:42:47Z-
dc.date.available2020-04-05T07:42:47Z-
dc.date.created2020-01-31-
dc.date.created2020-01-31-
dc.date.created2020-01-31-
dc.date.created2020-01-31-
dc.date.created2020-01-31-
dc.date.issued2019-08-
dc.identifier.citationContact Lens and Anterior Eye, Vol.42 No.4, pp.399-405-
dc.identifier.issn1367-0484-
dc.identifier.urihttps://hdl.handle.net/10371/163977-
dc.description.abstractPurpose: To report the therapeutic effect of corneoscleral contact lenses (CLs) with a diameter of 14.0 mm on the refractory ocular surface diseases. Methods: Medical records of 13 eyes (of nine patients) attempted for fitting with corneoscleral CLs for the management of the severe refractory ocular surface diseases were retrospectively reviewed including Stevens-Johnson syndrome (SJS; eight eyes) and chronic ocular graft-versus-host disease (GVHD; five eyes). Lenses were fitted to improve refractory punctate epithelial erosions (PEE, ten eyes) and persistent epithelial defect (PED, three eyes with SJS) despite the proper medical management. Short-term (1 month) and long-term (12 months) changes in the best corrected visual acuity (BCVA), corneal fluorescein staining (CFS) score, mean wearing time, and National Eye Institute's Visual Function Questionnaire-25 (VFQ-25) were evaluated. Results: Of the 13 eyes, ten eyes were successfully fitted with the corneoscleral CLs. The fitting was failed in three eyes due to small palpebral fissure and shortened fornices (two eyes) and handling difficulty (one eye). At one-month follow-up after successful fitting in ten eyes, mean wearing time was 12.6 h (6.5-17, all day long) and BCVA improved from 0.56 +/- 0.59 to 0.27 +/- 0.46 in logMAR (P = .018). For the eight well-fitted eyes with refractory PEE, CFS score improved from 7.38 +/- 2.20 to 5.13 +/- 2.48 (P = .024). PED improved in all two eyes which were successfully fitted with corneoscleral CLs (Of the three eyes with PED, one eye failed fitting). At 12-month follow-up, mean wearing time was 11.4 h and the improved BCVA and CFS score were maintained. Furthermore, no adverse events attributable to corneoscleral CLs use occurred. Conclusion: The corneoscleral CLs with a diameter of 14.0 mm were successfully fitted in ten out of 13 eyes with severe refractory ocular surface diseases and demonstrated therapeutic benefits in the well-fitted eyes. The corneoscleral CL can be an option in the management of severe refractory ocular surface diseases.-
dc.language영어-
dc.language.isoENGen
dc.publisherElsevier BV-
dc.titleLong-term effect of corneoscleral contact lenses on refractory ocular surface diseases-
dc.typeArticle-
dc.identifier.doi10.1016/j.clae.2018.10.011-
dc.citation.journaltitleContact Lens and Anterior Eye-
dc.identifier.wosid000473015400010-
dc.identifier.scopusid2-s2.0-85055711410-
dc.description.srndOAIID:RECH_ACHV_DSTSH_NO:T201917318-
dc.description.srndRECH_ACHV_FG:RR00200001-
dc.description.srndADJUST_YN:-
dc.description.srndEMP_ID:D027725-
dc.description.srndCITE_RATE:1.865-
dc.description.srndFILENAME:Contact lens Ant Eye_2019.pdf-
dc.description.srndDEPT_NM:의학과-
dc.description.srndEMAIL:bonzoo1@snu.ac.kr-
dc.description.srndSCOPUS_YN:Y-
dc.description.srndFILEURL:https://srnd.snu.ac.kr/eXrepEIR/fws/file/38ae2b43-6d83-4cf9-9388-45a301d525ba/link-
dc.citation.endpage405-
dc.citation.number4-
dc.citation.startpage399-
dc.citation.volume42-
dc.description.isOpenAccessN-
dc.contributor.affiliatedAuthorOh, Joo Youn-
dc.contributor.affiliatedAuthorKim, Mee Kum-
dc.identifier.srndT201917318-
dc.type.docTypeArticle-
dc.description.journalClass1-
dc.subject.keywordPlusANTERIOR SCLERAL CURVATURE-
dc.subject.keywordPlusSTEVENS-JOHNSON SYNDROME-
dc.subject.keywordPlusDRY EYE-
dc.subject.keywordPlusWEAR-
dc.subject.keywordAuthorCorneoscleral-
dc.subject.keywordAuthorContact lens-
dc.subject.keywordAuthorStevens-Johnson syndrome-
dc.subject.keywordAuthorGraft-versus-host disease-
dc.subject.keywordAuthorEpitheliopathy-
Appears in Collections:
Files in This Item:
There are no files associated with this item.

Related Researcher

  • College of Medicine
  • Department of Medicine
Research Area 각막 및 외안부 질환, 백내장

Altmetrics

Item View & Download Count

  • mendeley

Items in S-Space are protected by copyright, with all rights reserved, unless otherwise indicated.

Share