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Treatment of Recurrent Corneal Erosion by Extended-wear Bandage Contact Lens

Fraunfelder, Frederick W MD; Cabezas, Mauricio MD

doi: 10.1097/ICO.0b013e3181e84689
Clinical Science
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Purpose: To assess the efficacy of using a bandage contact lens (BCL) for 3 months for recurrent corneal erosions (RCE) to facilitate epithelial adhesion.

Methods: Retrospective study of patients presented to the Casey Eye Institute (Portland, OR) with RCE after failing at least 6 weeks of medical lubrication therapy. Subjects were treated with an extended-wear BCL for 3 months and then followed for approximately 1 year. The main outcome measure was recurrence of RCE. Best-corrected visual acuity was measured before and after BCL therapy.

Results: From the 12 patients studied, 9 (75%) had no recurrence of RCE after approximately 1 year of follow-up. Three subjects had subjective complaints of recurrent erosion during the follow-up period with 1 of these 3 subjects having objective findings of a recurrent erosion.

Conclusions: Three-month BCL treatment is a safe and effective medical therapy with a relatively low recurrence rate of RCE.

From the Casey Eye Institute, Department of Ophthalmology, Oregon Health & Science University, Portland, OR.

Received for publication September 1, 2009; revision received May 10, 2010; accepted May 12, 2010.

Supported in part by an unrestricted grant to Casey Eye Institute from Research to Prevent Blindness, New York, NY.

Reprints: Frederick W. Fraunfelder, Casey Eye Institute Cornea Service, 3375 SW Terwilliger Boulevard, Portland, OR 97239-4197 (e-mail: eyedrug@ohsu.edu).

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