Anterior eye surface changes following miniscleral contact lens wear

Consejo, Alejandra, Behaegel, Joséphine, Van Hoey, Maarten, Wolffsohn, James S., Rozema, Jos J. and Iskander, D. Robert (2018). Anterior eye surface changes following miniscleral contact lens wear. Contact Lens and Anterior Eye ,

Abstract

Purpose To quantify the effect of short-term miniscleral contact lens wear on the anterior eye surface of healthy eyes, including cornea, corneo-scleral junction and sclero-conjuctival area. Methods Twelve healthy subjects (29.9 ± 5.7 years) wore a highly gas-permeable miniscleral contact lens of 16.5 mm diameter during a 5-hour period. Corneo-scleral height profilometry was captured before, immediately following lens removal and 3 h after lens removal. Topography based corneo-scleral limbal radius estimates were derived from height measurements. In addition, elevation differences in corneal and scleral region were calculated with custom-written software. Sclero-conjuctival flattening within different sectors was analysed. Results Short-term miniscleral lens wear significantly modifies the anterior eye surface. Significant limbal radius increment (mean ± standard deviation) of 146 ± 80 μm, (p = 0.004) and flattening of −122 ± 90 μm in the sclero-conjuctival area, (p << 0.001) were observed immediately following lens removal. These changes did not recede to baseline levels 3 h after lens removal. The greatest anterior eye surface flattening was observed in the superior sector. No statistically significant corneal shape change was observed immediately following lens removal or during the recovery period. Conclusions Short-term miniscleral contact lens wear in healthy eyes does not produce significant corneal shape changes measured with profilometry but alters sclero-conjuctival topography. In addition, sclero-conjuctival flattening was not uniformly distributed across the anterior eye.

Publication DOI: https://doi.org/10.1016/j.clae.2018.06.005
Divisions: Life & Health Sciences > Ophthalmic Research Group
Life & Health Sciences > Optometry
Life & Health Sciences
Additional Information: © 2018, Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/
Uncontrolled Keywords: Miniscleral contact lens,Anterior eye surface,Corneal topography,Scleral topography,Limbus
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Related URLs: https://www.sci ... 59a5f9aeaa92ffb (Publisher URL)
Published Online Date: 2018-07-03
Authors: Consejo, Alejandra
Behaegel, Joséphine
Van Hoey, Maarten
Wolffsohn, James S. ( 0000-0003-4673-8927)
Rozema, Jos J.
Iskander, D. Robert

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Version: Accepted Version

Access Restriction: Restricted to Repository staff only until 3 July 2019.

License: Creative Commons Attribution Non-commercial No Derivatives


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