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Will Higher-Dk Materials Give Better Corneal Refractive Therapy Results and Fewer Complications?

Sakamoto, Randall O.D., Ph.D.; Sugimoto, Keiji B.S.

Eye & Contact Lens: Science & Clinical Practice: October 2004 - Volume 30 - Issue 4 - pp 252-253
Article

Purpose. To evaluate the current status of materials in use for corneal refractive therapies.

Methods. The most up-to-date data available on rigid gas-permeable (RGP) lenses, corneal swelling, and corneal infection are reviewed.

Results. Despite 125 Dk/t units or greater, studies have shown differences in overnight swelling between RGP and silicone hydrogel materials. There is a small but significant overnight swelling with RGP lenses in this class when compared with silicone hydrogels, yet studies of Pseudomonas adherence to human epithelium have shown that RGP-wearing corneas bind the least bacteria.

Conclusions. Corneal refractive therapies are on the verge of international acceptance as a standard alternative for treating refraction. Continually using newer, more permeable lens materials is a necessity to ensure safety, efficacy, and, in turn, long-term acceptance.

From private practice (R.S.), Honolulu, HI; Menicon Co., Ltd. (R.S., K.S.) Nagoya, Japan.

Address correspondence and reprint requests to Dr. R. Sakamoto, 1820 Algaroba Street, Suite 200, Honolulu, HI 96826; e-mail: sakamoto@pixi.com.

Accepted April 29, 2004.

© 2004 Lippincott Williams & Wilkins, Inc.