Кастомизированые Окл Для Коррекции Миопии И Смешанного Астигматизма

17th April 2024

Гульнара Андриенко​ Введение Пациенты с высоким односторонним астигматизмом без патологии роговицы встречаются нередко. Многие из них не пользуются оптической коррекцией из-за зрительного дискомфорта, а иногда и вовсе случайно узнают о существующей проблеме при проверке зрения. Мы неоднократно предпринимали попытки корректировать зрение при наличии высокой степени астигматизма на одном глазу...

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The relationship between Meibomian Gland Dysfunction and Keratoconus

02nd April 2024

On the 28th and 29th January 2024 the 41st meeting of the Congrès d’Optométrie et de Contactologie (C.O.C) , organized by the Association des Optométristes de France (AOF) took place in Montrouge, just outside Paris, France. This congress has grown from 100 delegates 10 years ago to 900 today, and...

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Scleral Lens Management of Soft Contact Lens Induced Limbal Stem Cell Deficiency

03rd November 2023

Introduction Limbal stem cell deficiency (LSCD) results in dysfunction and/or loss of the stem cells in the basal limbal area. These cells are responsible for maintaining and replenishing the corneal epithelium. This change in corneal tissue composition results in conjunctival epithelial ingrowth, persistent epithelial defects, chronic inflammation, and neovascularization.1,5 There...

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Putting the Latest Soft Contact Lens Research to Practice

27th October 2023

Introduction In 2020, the COVID-19 pandemic wrought significant havoc on our healthcare system and daily lives. The implementation of public health measures, aimed at safeguarding the population, reshaped our professional landscape. We witnessed a surge in demand for contact lens fittings, coinciding with the return of our regular wearers...

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Type 1 Lattice Corneal Dystrophy Status Post Penetrating Keratoplasty: A Scleral Lens Success Story

31st August 2023

Background Type 1 lattice corneal dystrophy (LCD1) is a rare hereditary bilateral disorder of the cornea. This is a result of an autosomal dominant mutation of the TGFBI (transforming growth factor beta induced) gene which leads to accumulation of amyloid deposits in stroma1 Variable clinical appearance depends on the...

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Managing Bilateral Penetrating Keratoplasty-Related Rim Ectasia and Astigmatism

31st August 2023

Introduction This patient is a 51 YO female who had bilateral Penetrating Keratoplasties around 30 years ago in Rotterdam. Her grafts have become ectatic over the years and now exhibit signs of Rim Ectasia. This presents itself as a thinning of the host cornea leading to a tilting of the graft and a significant...

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Avoiding a Corneal Transplant in a Young Patient

23rd June 2023

Background Corneal opacity is the fifth leading cause of blindness worldwide¹. A common cause of corneal opacity is infectious keratitis. In developed countries, contact lenses are the leading cause of infectious keratitis while in developing countries it is from corneal trauma during agriculture work¹. The most common organism responsible...

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Not a Steep Learning Curve

23rd June 2023

Introduction This lens fit appears like a complex case, with at least three different factors playing a role. But by ‘simply’ applying a basic set of rules, this case report shows what a difference an Eye Care Professional (ECP) can make in people’s lives. First, by assessing whether an...

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Stage 1 Keratoconus: Great Visual Acuity with Custom Soft Contact Lens

27th April 2023

Introduction Traditionally, gas permeable, scleral and even hybrid contact lenses are recommended for patients with keratoconus or other diseases that cause irregularity of the cornea, as they can effectively correct the significant levels of astigmatism through neutralization by the tear film. However, there is evidence to support the use...

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Using a Customized Soft Lens

28th February 2023

Introduction The vast majority of the lenses we fit in contact lens practice are soft lenses. The amount of attention that goes into ‘fitting’ soft lenses is limited in contrast to the focus on scleral lens fitting, corneal lens fitting, and orthokeratology, for instance. This case shows how taking...

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