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New-Generation Hybrid Contact Lens for the Management of Extreme Irregularity in a Thin Cornea After Unsuccessful Excimer Laser Refractive Surgery

Piñero, David P. Ph.D.; Pérez-Cambrodí, Rafael J. O.D., Ph.D.; Ruiz-Fortes, Pedro O.D.; Blanes-Mompó, Francisco J. M.D.

Eye & Contact Lens: Science & Clinical Practice:
doi: 10.1097/ICL.0b013e31829e8f90
Case Report
Abstract

Purpose: To report a very successful outcome obtained with the fitting of a new-generation hybrid contact lens of reverse geometry in a thin cornea with extreme irregularity due to the presence of a central island after unsuccessful myopic excimer laser refractive surgery.

Methods: A 32-year-old man attended to our clinic complaining of very poor vision in his right eye after bilateral laser in situ keratomileusis (treatment or surgery) for myopia correction and some additional retreatments afterward. After a comprehensive ocular evaluation, contact lens fitting with a reverse geometry hybrid contact lens (SynergEyes PS, SynergEyes, Carlsbad, CA) was proposed as a solution for this case. Visual, refractive, and ocular aberrometric outcomes with the contact lens were evaluated.

Results: Distance visual acuity improved from a prefitting uncorrected value of 20/200 to a postfitting corrected value of 20/16. Prefitting manifest refraction was +6.00 sphere and −3.00 cylinder at 70°, with a corrected distance visual acuity of 20/40. Higher order root mean square for a 5-mm pupil changed from a prefitting value of 1.45 to 0.34 µm with the contact lens. The contact lens wearing was reported as comfortable, and the patient was very satisfied with this solution.

Conclusions: The SynergEyes PS contact lens seems to be an excellent option for the visual rehabilitation of corneas with extreme irregularity after myopic excimer laser surgery, minimizing the level of higher order aberrations and providing an excellent visual outcome.

Author Information

Department of Ophthalmology (Oftalmar) (D.P.P., R.J.P.C., P.R.F., F.J.B.M.), Medimar International Hospital, Alicante, Spain; Foundation for the Visual Quality (FUNCAVIS, Fundación para la Calidad Visual, Alicante, Spain) (D.P.P., R.J.P.C.), Alicante, Spain; and Department of Optics, Pharmacology and Anatomy (D.P.P.), University of Alicante, Alicante, Spain.

Address correspondence to David P. Piñero, Ph.D., Department of Ophthalmology (Oftalmar), Medimar International Hospital, Avda. Denia, 78, 03016 Alicante, Spain; e-mail: dpinero@oftalmar.es

The authors have no proprietary or commercial interest in the medical devices that are involved in this manuscript.

The authors have no funding or conflicts of interest to disclose.

Accepted June 03, 2013

© 2014 Contact Lens Association of Ophthalmologists, Inc.