The Clinical Result of Extended Wear of Therapeutic Contact Lenses and 5% NaCl for Traumatic Recurrent Corneal Erosion

Mi Young Kwon; Dae Jin Park

doi:10.3341/jkos.2019.60.1.16

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Kwon and Park: The Clinical Result of Extended Wear of Therapeutic Contact Lenses and 5% NaCl for Traumatic Recurrent Corneal Erosion

Original Article

Journal of the Korean Ophthalmological Society 2019; 60(1): 16-24.

Published online: 16 January 2019

DOI: https://doi.org/10.3341/jkos.2019.60.1.16

The Clinical Result of Extended Wear of Therapeutic Contact Lenses and 5% NaCl for Traumatic Recurrent Corneal Erosion

Mi Young Kwon, MD, Dae Jin Park, MD

Department of Ophthalmology, Daegu Fatima Hospital, Daegu, Korea.

Address reprint requests to Dae Jin Park, MD. Department of Ophthalmology, Daegu Fatima Hospital, #99 Ayang-ro, Dong-gu, Daegu 41199, Korea. Tel: 82-53-940-7140, Fax: 82-53-954-7417, dj_oph_2540@hanmail.net

Received 14 June 2018 Revised 9 July 2018 Accepted 8 December 2018

The Korean Ophthalmological Society

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To evaluate the clinical results of treatment with extended wear of therapeutic contact lenses and 5% NaCl eye drops for traumatic recurrent corneal erosion.

Methods

From January 2015 to December 2017, 18 eyes of 18 patients who were first diagnosed with recurrent corneal erosion after trauma were analyzed. The age, sex, and causes of injury of the patients were analyzed. We retrospectively analyzed the recurrence rate, recurrence time, best-corrected visual acuity (BCVA), and complications after treatment with extended wear of therapeutic contact lenses and 5% NaCl eye drops.

Results

The mean age was 50.0 ± 12.0 years (range: 27–75 years) with no significant difference in gender and the mean follow up period was 11.6 ± 7.4 months (range: 3.5–28.0 months). Three eyes (16.7%) experienced recurrences and all of them were resolved with a therapeutic contact lens and 5% NaCl eye drops. The initial mean BCVA was 0.35 ± 0.33 logarithm of minimal angle of resolution (logMAR) and the final mean BCVA was 0.09 ± 0.06 logMAR (p = 0.015). There were no significant complications such as bacterial keratitis, hypoxia or sterile infiltration from the extended wear of therapeutic contact lenses.

Conclusions

The results imply that long-term combined treatment of extended therapeutic contact lens wear with 5% NaCl eye drops may be a safe and effective therapy.

Keywords: Hyperosmotic agent, Recurrent corneal erosion, Therapeutic contact lens

Figures and Tables

Figure 1

Slit-lamp photography of a patient who was diagnosed with recurrent corneal erosion. A 60-year-old male patient presented with a ragged and greyish appearance of the epithelium in the left eye (A) and abnormal fluorescein staining (B).

Figure 2

Anterior segment optical coherence tomography of the left cornea. Hyper-reflective signals pointed by arrowheads involving both Bowman's layer and superficial cornea (A, B).

Table 1

Air Optix® Night & Day AQUA® contact lens (Alcon, Fort Worth, TX, USA) product information

Dk/t = oxygen transmissibility; D = diopters.

Table 2

Demographic characteristics and clinical features of the patients with recurrent corneal erosion

Values are presented as mean ± standard deviation or number (%) unless otherwise indicated.

mos = months.

Table 3

Causative types of trauma in 18 eyes of 18 patients with recurrent corneal erosion

Values are presented as number (%).

Table 4

Logistic regression analysis of recurrence

mos = months.

^*Logistic regression analysis, p-value < 0.05, statistically significant difference.

Notes

^{Conflicts of Interest} The authors have no conflicts to disclose.

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