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Br J Ophthalmol 89:1601-1608 doi:10.1136/bjo.2005.069500
  • Clinical science
    • Extended reports

Contact lenses and special back surface design after penetrating keratoplasty to improve contact lens fit and visual outcome

Table 3

 Profile of all 28 patients divided into the different contact lens groups

No Age/sex Diagnosis leadingto keratoplasty First CL (months) Central radius Eccentricity Spectacle VA CL VA Specialties
The selected lens design depends strongly on the eccentricity ε. We fitted a tricurve design lens (fig 1) in cases of 0⩽ε⩽0.4; a keratoconus design in cases of 0.7⩽ε⩽0.9; a reverse design (oblong/tetracurve) in cases of negative eccentricity. If the astigmatism involves both the graft and the host, a bitoric design is recommendable. In this case the role of eccentricity is minimised. If we found remaining astigmatism but a good fit, we selected a front toric design.
Tricurve design
1 36/M Keratoconus 17 7.98 6.88 0.35 0.5 0.7
2 65/F Fuchs’ dystrophy 6 6.08 5.66 0.1 0.02 0.05 Amblyopia
3 49/F Keratoconus 336 8.95 8.12 0.25 0.2 0.5 mydriasis
4 43/M Keratoconus 48 7.16 6.18 0.29 0.2 0.8
5 37/M Herpes 26 8.23 6.79 0.39 0.5 0.9
6 35/M Keratoconus 12 8.06 7.72 0.01 0.3 0.6 Front toric
7 49/F Fuchs’ dystrophy 60 7.37 6.58 −0.77 0.6 0.9 Bitoric CL
8 65/F Fuchs’ dystrophy 60 7.88 7.02 −0.73 0.5 0.9 Bitoric CL
9 43/M Keratoconus 12 8.69 7.81 0.0 1.0 1.25 Bitoric CL
10 57/M Keratoconus 20 7.92 7.29 −0.9 0.8 1.0 Bitoric CL
11 23/M Herpes 4 8.27 6.81 0.28 0.6 1.0 Bitoric CL
Keratoconus design
12 62/F Scarring 17 6.54 6.32 0.89 0.2 0.7
13 61/M Fuchs’ dystrophy 60 7.40 6.78 0.75 0.05 0.1 Amblyopia
14 52/M Scarring 336 7.49 7.03 0.82 0.6 0.8
Reverse design
Tetracurve reverse design
15 41/M Keratoconus 8 7.74 6.69 −0.74 0.2 0.6
16 36/F Ulcer 17 8.18 7.00 −0.32 0.7 0.9
17 57/M Keratoconus 14 8.81 7.01 −0.89 0.2 0.5
18 36/M Keratoconus 60 6.97 6.85 −0.35 0.5 1.0
19 36/M Keratoconus 17 7.95 6.83 −0.02 0.2 0.9
20 17/F Scarring 15 6.95 6.83 −0.22 0.4 0.7
21 46/M Scarring 15 8.54 7.70 −0.02 0.1 0.2
22 26/F Ulcer 42 7.86 6.36 −0.12 0.1 0.9
23 20/F Keratoconus 10 8.01 7.07 −0.17 0.4 0.6
24 20/F Keratoconus 2 6.77 6.51 −0.07 0.4 0.8
Oblong reverse design
25 69/F Fuchs’ dystrophy 18 9.68 7.62 −0.37 0.1 0.9
26 69/F Fuchs’ dystrophy 3 8.76 6.33 −0.91 0.1 0.4 Cataract
27 34/M Keratoconus 34 7.33 7.18 −0.92 0.2 0.9
28 52/M Keratoconus 12 7.72 7.38 −0.38 0.1 0.3

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