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Which soft contact lens power is better for piggyback fitting in keratoconus?

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Resumo:PURPOSE: To evaluate the ipact of differente soft contact lens power in the anterior corneal curvature and regulareity in subjects with keratoconus. METHODS: Nineteen subjects (30 eyes) with keratoconus were included in the study. Six corneal topographies were taken with Pentacam Eye System over the naked eye and successively with soft lens (Senofilcon A) powers of -3.00, -1.50, 0.00, +1.50 and +3.00D. Corneal measurements of mean central keratometry (MCK), maximum tangential curvature (TK), maximum front elevation (MFE) and eccentricity (Ecc) at 6 and 8mm diameters as well as anterior corneal surface high order aberrations (i.e. total RMS, spherical- and coma-like and secondary astigmatism) were evaluated. RESULTS: Negative- and plano-powered soft lenses flattened (p<0.05 in all cases), whereas positive-powered lenses did not induce any significant changes (p>0.05 in all cases) in MCK in comparison to the naked eye. The TK power decreased with negative lenses (p<0.05 in both cases) and increased with +3.00D lenses (p=0.03) in comparison to the naked eye. No statistically significant differences were found in MFE with any soft lens power in comparison to the naked eye (p>0.05 in all cases). Corneal eccentricity increased at 8mm diameter for all lens powers (p<0.05 in all cases). No statistically differences were found in HOA RMS and spherical-like aberration (both p>0.05). Statistically differences were found in coma-like and secondary astigmatism (both p<0.05). CONCLUSION: Negative-powered soft contact lenses provide a flatter anterior surface in comparison to positive-powered lenses in subjects with keratoconus and thus they might be more suitable for piggyback contact lens fitting.
Autores principais:Romero-Jimenez, Miguel
Outros Autores:Santodomingo-Rubido, Jacinto; Flores-Rodriguez, Patricia; González-Méijome, José Manuel
Assunto:Contact lens Keratoconus Piggyback Cornea
Ano:2013
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso aberto
Instituição associada:Universidade do Minho
Idioma:inglês
Origem:RepositóriUM - Universidade do Minho
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author Romero-Jimenez, Miguel
author2 Santodomingo-Rubido, Jacinto
Flores-Rodriguez, Patricia
González-Méijome, José Manuel
author2_role author
author
author
author_facet Romero-Jimenez, Miguel
Santodomingo-Rubido, Jacinto
Flores-Rodriguez, Patricia
González-Méijome, José Manuel
author_role author
contributor_name_str_mv RepositóriUM - Universidade do Minho
country_str PT
creators_json_txt [{\"Person.name\":\"Romero-Jimenez, Miguel\"},{\"Person.name\":\"Santodomingo-Rubido, Jacinto\"},{\"Person.name\":\"Flores-Rodriguez, Patricia\"},{\"Person.name\":\"González-Méijome, José Manuel\"}]
datacite.contributors.contributor.contributorName.fl_str_mv RepositóriUM - Universidade do Minho
datacite.creators.creator.creatorName.fl_str_mv Romero-Jimenez, Miguel
Santodomingo-Rubido, Jacinto
Flores-Rodriguez, Patricia
González-Méijome, José Manuel
datacite.date.Accepted.fl_str_mv 2013-01-01T00:00:00Z
datacite.date.available.fl_str_mv 2012-11-07T11:37:14Z
datacite.date.embargoed.fl_str_mv 2012-11-07T11:37:14Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv Contact lens
Keratoconus
Piggyback
Cornea
datacite.titles.title.fl_str_mv Which soft contact lens power is better for piggyback fitting in keratoconus?
dc.contributor.none.fl_str_mv RepositóriUM - Universidade do Minho
dc.creator.none.fl_str_mv Romero-Jimenez, Miguel
Santodomingo-Rubido, Jacinto
Flores-Rodriguez, Patricia
González-Méijome, José Manuel
dc.date.Accepted.fl_str_mv 2013-01-01T00:00:00Z
dc.date.available.fl_str_mv 2012-11-07T11:37:14Z
dc.date.embargoed.fl_str_mv 2012-11-07T11:37:14Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv https://hdl.handle.net/1822/20708
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv Elsevier
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.subject.none.fl_str_mv Contact lens
Keratoconus
Piggyback
Cornea
dc.title.fl_str_mv Which soft contact lens power is better for piggyback fitting in keratoconus?
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description PURPOSE: To evaluate the ipact of differente soft contact lens power in the anterior corneal curvature and regulareity in subjects with keratoconus. METHODS: Nineteen subjects (30 eyes) with keratoconus were included in the study. Six corneal topographies were taken with Pentacam Eye System over the naked eye and successively with soft lens (Senofilcon A) powers of -3.00, -1.50, 0.00, +1.50 and +3.00D. Corneal measurements of mean central keratometry (MCK), maximum tangential curvature (TK), maximum front elevation (MFE) and eccentricity (Ecc) at 6 and 8mm diameters as well as anterior corneal surface high order aberrations (i.e. total RMS, spherical- and coma-like and secondary astigmatism) were evaluated. RESULTS: Negative- and plano-powered soft lenses flattened (p<0.05 in all cases), whereas positive-powered lenses did not induce any significant changes (p>0.05 in all cases) in MCK in comparison to the naked eye. The TK power decreased with negative lenses (p<0.05 in both cases) and increased with +3.00D lenses (p=0.03) in comparison to the naked eye. No statistically significant differences were found in MFE with any soft lens power in comparison to the naked eye (p>0.05 in all cases). Corneal eccentricity increased at 8mm diameter for all lens powers (p<0.05 in all cases). No statistically differences were found in HOA RMS and spherical-like aberration (both p>0.05). Statistically differences were found in coma-like and secondary astigmatism (both p<0.05). CONCLUSION: Negative-powered soft contact lenses provide a flatter anterior surface in comparison to positive-powered lenses in subjects with keratoconus and thus they might be more suitable for piggyback contact lens fitting.
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eu_rights_str_mv openAccess
format article
fulltext.url.fl_str_mv https://repositorium.uminho.pt/bitstreams/d704ca7e-2f1f-4c95-ad29-327e5c61f4d7/download
id rum_f13000cf5bbc93d293b2fc8f9fb2fd5c
identifier.url.fl_str_mv https://hdl.handle.net/1822/20708
instacron_str repositorium
institution Universidade do Minho
instname_str Universidade do Minho
language eng
network_acronym_str rum
network_name_str RepositóriUM - Universidade do Minho
oai_identifier_str oai:repositorium.uminho.pt:1822/20708
organization_str_mv urn:organizationAcronym:repositorium
person_str_mv Romero-Jimenez, Miguel
Santodomingo-Rubido, Jacinto
Flores-Rodriguez, Patricia
González-Méijome, José Manuel
publishDate 2013
publisher.none.fl_str_mv Elsevier
reponame_str RepositóriUM - Universidade do Minho
repository_id_str urn:repositoryAcronym:rum
service_str_mv urn:repositoryAcronym:rum
spelling engElsevierporPURPOSE: To evaluate the ipact of differente soft contact lens power in the anterior corneal curvature and regulareity in subjects with keratoconus. METHODS: Nineteen subjects (30 eyes) with keratoconus were included in the study. Six corneal topographies were taken with Pentacam Eye System over the naked eye and successively with soft lens (Senofilcon A) powers of -3.00, -1.50, 0.00, +1.50 and +3.00D. Corneal measurements of mean central keratometry (MCK), maximum tangential curvature (TK), maximum front elevation (MFE) and eccentricity (Ecc) at 6 and 8mm diameters as well as anterior corneal surface high order aberrations (i.e. total RMS, spherical- and coma-like and secondary astigmatism) were evaluated. RESULTS: Negative- and plano-powered soft lenses flattened (p<0.05 in all cases), whereas positive-powered lenses did not induce any significant changes (p>0.05 in all cases) in MCK in comparison to the naked eye. The TK power decreased with negative lenses (p<0.05 in both cases) and increased with +3.00D lenses (p=0.03) in comparison to the naked eye. No statistically significant differences were found in MFE with any soft lens power in comparison to the naked eye (p>0.05 in all cases). Corneal eccentricity increased at 8mm diameter for all lens powers (p<0.05 in all cases). No statistically differences were found in HOA RMS and spherical-like aberration (both p>0.05). Statistically differences were found in coma-like and secondary astigmatism (both p<0.05). CONCLUSION: Negative-powered soft contact lenses provide a flatter anterior surface in comparison to positive-powered lenses in subjects with keratoconus and thus they might be more suitable for piggyback contact lens fitting.application/pdfporWhich soft contact lens power is better for piggyback fitting in keratoconus?Romero-Jimenez, MiguelSantodomingo-Rubido, JacintoFlores-Rodriguez, PatriciaGonzález-Méijome, José ManuelHostingInstitutionOrganizationalRepositóriUM - Universidade do Minhoe-mailmailto:repositorium@usdb.uminho.ptrepositorium@usdb.uminho.ptPMID23108009ISSNIsPartOf1367-0484DOIIsPartOf10.1016/j.clae.2012.10.0702012-11-07T11:37:14Z20132012-06-072013-01-01T00:00:00ZHandlehttps://hdl.handle.net/1822/20708http://purl.org/coar/access_right/c_abf2open accessContact lensKeratoconusPiggybackCornea320266 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal articlehttp://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://repositorium.uminho.pt/bitstreams/d704ca7e-2f1f-4c95-ad29-327e5c61f4d7/download
spellingShingle Which soft contact lens power is better for piggyback fitting in keratoconus?
Romero-Jimenez, Miguel
Contact lens
Keratoconus
Piggyback
Cornea
status SINGLETON
subject.fl_str_mv Contact lens
Keratoconus
Piggyback
Cornea
title Which soft contact lens power is better for piggyback fitting in keratoconus?
title_full Which soft contact lens power is better for piggyback fitting in keratoconus?
title_fullStr Which soft contact lens power is better for piggyback fitting in keratoconus?
title_full_unstemmed Which soft contact lens power is better for piggyback fitting in keratoconus?
title_short Which soft contact lens power is better for piggyback fitting in keratoconus?
title_sort Which soft contact lens power is better for piggyback fitting in keratoconus?
topic Contact lens
Keratoconus
Piggyback
Cornea
topic_facet Contact lens
Keratoconus
Piggyback
Cornea
url https://hdl.handle.net/1822/20708
visible 1