Efficacy of custom-made soft keratoconus lenses on corneal aberrations and photic phenomena in patients with keratoconus:a corneal topography imaging based study

查看全文 作　　者：Aysegul [1]Penbe;Hatice Selen [1]Kanar;Aysu Karatay [1]Arsan;Sevda Aydın [2]Kurna 机构地区：[1]Department of Ophthalmology,Kartal Dr.Lutfi Kirdar Training and Research Hospital,Health Science University,Semsi Denizer Caddesi,E-5,Kartal Istanbul 34890,Turkey;[2]Department of Ophthalmology,Fatih Sultan Mehmet Training and Research Hospital,Health Science University,E-5,Icerenkoy 34752,Istanbul,Turkey 出　　处：《International Journal of Ophthalmology(English edition)》索引2023年第16卷第1期,共8页 摘　　要：AIM:To evaluate the efficacy of custom-made soft keratoconus(KC)lenses on corneal aberrations and photic phenomena in two different optical zones in patients with KC.METHODS:Sixty eyes of 42 patients with KC were examined at baseline and after fitting HydroCone(Toris K)soft silicone hydrogel lenses.Best spectacle-corrected visual acuity(BSCVA)and contact lens-corrected visual acuity(CLCVA)were recorded.Lower-and higher-order corneal aberrations(LOAs and HOAs)were measured with and without Toris K lenses and compared in central 4.5 mm and 7 mm zones.Mesopic pupil diameter and subjective photic phenomena were also assessed.RESULTS:Mean CLCVA was significantly improved compared to BSCVA(P<0.0001).Corneal curvature and refractive measurements were found to be significantly reduced by the use of Toris K lenses,except for posterior corneal curvature values.In the 4.5 mm central optical zone,all wavefront aberrations decreased significantly after lens fitting(P<0.0001).In contrast,in the 7 mm(peripheral)optical zone,values for HOAs,spherical and residual aberrations,and optical path differences were increased,while LOAs,trefoil,and quadrifoil coefficients were decreased.The rate of photic phenomena was significantly higher in participants with a pupil size>6.00 mm(85.7%).CONCLUSION:Toris K lenses provide good visual results and a significant reduction in central corneal aberrations in patients with KC but could cause an increase in peripheral aberrations.This practical and nonsurgical approach appears to be an effective method for the visual management of KC. 关 键 词：corneal aberrations custom-made soft keratoconus lenses higher-order aberrations KERATOCONUS lower-order aberrations PUPILLOGRAPHY