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Journal Français d'Ophtalmologie
Volume 43, n° 1
pages e1-e5 (janvier 2020)
Doi : 10.1016/j.jfo.2019.11.004
Received : 9 September 2019 ;  accepted : 17 November 2019
Editor's choice

Efficacy of visual rehabilitation of patients with pellucid marginal degeneration fitted with SPOT® scleral contact lenses
 

S. Bézé a, , C. Benoist D’azy a, C. Lambert b, F. Chiambaretta a
a Ophthalmology service, centre hospitalier régional universitaire Gabriel-Montpied, place Henri-Dunant, 63000 Clermont-Ferrand, France 
b Délégation à la recherche clinique et informatique, centre hospitalier régional universitaire Gabriel-Montpied, place Henri-Dunant, 63000 Clermont-Ferrand, France 

Corresponding author.
Summary
Purpose

To assess visual improvement in patients with pellucid marginal degeneration (PMD) after fitting with SPOT® scleral contact lenses (Scleral Protection & Ocular Treatment, Laboratoires d’Appareillage Oculaire, Amphion-Les-Bains, France).

Methods

We report a case series of 5 patients with PMD and unsatisfactory refractive correction managed at Clermont-Ferrand university hospital from January to December 2018 fitted with customized SPOT scleral lenses. We assessed the best-corrected visual acuity (BCVA) before and after fitting with SPOT, keratometric data and tolerability of the scleral lenses.

Results

Nine eyes of 5 patients aged 51.8±8.47 years were fitted. The BCVA was significantly improved from 0.51 logMAR (±0.39) to 0.04 logMAR (±0.07) (P <0.001). Sixty-six percent of the patients recovered optimal BCVA. No serious adverse event was reported. The presence of whitish deposits and an inordinate amount of manipulation required were the main disadvantages of the lenses. Nevertheless, all the patients considered them to be comfortable.

Conclusion

Fitting PMD patients who have failed conventional optical devices with SPOT scleral lenses significantly improves BCVA, without serious adverse events, allowing surgery to be deferred even when it appears to be unavoidable.

The full text of this article is available in PDF format.

Keywords : Corneal degeneration, Cornea, Contact lens fitting, Scleral lenses, Pellucid marginal degeneration




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