Comparison of axial and tangential topographic algorithms for contact lens fitting after LASIK.

作者: Loretta Szczotka-Flynn , Binoy R. Jani

DOI: 10.1097/01.ICL.0000161707.83797.87

关键词: LASIKContact lensCurvatureKeratomileusisRefractive surgeryMathematicsVertex normalDioptreCorneal topographyAlgorithm

摘要: PURPOSE Computerized videokeratography (CVK) has become the standard method for measuring corneal curvature after refractive surgery. However, few resources exist on use of CVK data postoperative contact lens fitting, and no recommendations selection best topographic algorithm relevant to gas-permeable (GP) fitting. This study assessed optimal fit spherical GP lenses patients who have undergone laser in situ keratomileusis. METHODS A retrospective analysis maps from eight post-LASIK eyes fitted with was performed Contact Lens Service Department Ophthalmology at Case Western Reserve University Hospitals Cleveland. Axial tangential Dicon CT 200 (version 3.50) or Humphrey Atlas A8) topographer were analyzed. Averaged dioptric curvatures different locations (inferior, superior, temporal) various distances (2.0 mm, 2.5 3.0 3.5 4.0 mm) vertex normal each eye compared base curves prescribed lenses. RESULTS One-way variance, Pearson correlation analysis, paired t tests showed that predictors a successful curve average mm distance axial (r=0.8078, P=0.05) 2.0 (r=0.9738, P=0.0002). The mean powers curve, map curvature, 41.50 diopters (D), 42.65 D, 42.67 respectively. CONCLUSION To simplify guide fitting LASIK, are accurate selection.

参考文章(26)
Cynthia Roberts, The accuracy of 'power' maps to display curvature data in corneal topography systems. Investigative Ophthalmology & Visual Science. ,vol. 35, pp. 3525- 3532 ,(1994)
Karen K Yeung, Michael D Olson, Barry A Weissman, Complexity of contact lens fitting after refractive surgery. American Journal of Ophthalmology. ,vol. 133, pp. 607- 612 ,(2002) , 10.1016/S0002-9394(02)01349-1
R. Manabe, M. Matsuda, T. Suda, Photokeratoscopy in fitting contact lens after penetrating keratoplasty. British Journal of Ophthalmology. ,vol. 70, pp. 55- 59 ,(1986) , 10.1136/BJO.70.1.55
Li Lim, Ka-Lin Siow, Randall Sakamoto, James Sing Chong Chong, Donald Tiang Hwee Tan, Reverse geometry contact lens wear after photorefractive keratectomy, radial keratotomy, or penetrating keratoplasty. Cornea. ,vol. 19, pp. 320- 324 ,(2000) , 10.1097/00003226-200005000-00012
ROBERT B. MANDELL, CHRISTINE SHIE CHIANG, STANLEY A. KLEIN, Location of the major corneal reference points. Optometry and Vision Science. ,vol. 72, pp. 776- 784 ,(1995) , 10.1097/00006324-199511000-00002
JUDY S. CHAN, ROBERT B. MANDELL, LARISA JOHNSON, COURTNEY REED, ROBERT FUSARO, Contact lens base curve prediction from videokeratography. Optometry and Vision Science. ,vol. 75, pp. 445- 449 ,(1998) , 10.1097/00006324-199806000-00028
Yaron S. Rabinowitz, Tangential vs Sagittal Videokeratographs in the “Early” Detection of Keratoconus American Journal of Ophthalmology. ,vol. 122, pp. 887- 889 ,(1996) , 10.1016/S0002-9394(14)70388-5
Christine L. K. Astin, Keratoreformation by contact lenses after radial keratotomy Ophthalmic and Physiological Optics. ,vol. 11, pp. 156- 162 ,(1990) , 10.1111/J.1475-1313.1991.TB00215.X
Fred A. Eggink, Houdijn W. Beekhuis, Rudy M. Nuijts, Rigid gas-permeable contact lens fitting in LASIK patients for the correction of multifocal corneas. Graefes Archive for Clinical and Experimental Ophthalmology. ,vol. 239, pp. 361- 366 ,(2001) , 10.1007/S004170100282