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Case Report: Intracorneal Hemorrhages Seen with Scleral Contact Lens Wear and Netarsudil Therapy in OVS : Optometry & Vision Science, vol. 99, 04 (Avril 2022)
[article]
in OVS : Optometry & Vision Science > vol. 99, 04 (Avril 2022)
Titre : Case Report: Intracorneal Hemorrhages Seen with Scleral Contact Lens Wear and Netarsudil Therapy Type de document : article de périodique Année de publication : 2022 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus HELB]:Paramédical:Effets indésirables
[Thésaurus HELB]:Paramédical:Lentille sclérale /complications
[Thésaurus Mesh]Glaucome à angle ouvert
[Thésaurus Mesh]Solutions ophtalmiquesMots-clés : netarsudil hémorragies intracornéennes Résumé : SIGNIFICANCE: Intracorneal hemorrhages are a rare finding generally associated with surgery or trauma. There is
no consensus on preferred management except eliminating or addressing the causative mechanism in hopes of reducing the risk of corneal haze or scarring.
PURPOSE: This case highlights a rare adverse outcome of intracorneal hemorrhages occurring after recent initiation
of netarsudil, possibly exacerbated by scleral contact lens wear in a patient with open-angle glaucoma and limbal
stem cell deficiency.
CASE REPORT: A 77-year-old man using scleral contact lenses for therapeutic management of limbal stem cell
deficiency started netarsudil for open-angle glaucoma. During an annual follow-up to adjust his scleral contact
lenses, the patient developed peripheral intracorneal hemorrhages bilaterally. The intracorneal hemorrhages resolved over the course of 10 weeks after minor adjustments were made to the scleral contact lens fit and netasurdil
was discontinued. Visual acuity and intraocular pressure remained stable throughout.
CONCLUSIONS: There are few reports of intracorneal hemorrhages associated with scleral contact lens use and
even fewer associated with the use of netarsudil. This case proposes several possible causes of the intracorneal
hemorrhages, including topical rho-associated kinase inhibitors, contact lens wear, and trauma. Further studies are
needed to determine if netarsudil is associated with intracorneal hemorrhages, to understand the sequelae of
intracorneal hemorrhages in netarsudil therapy, and to recommend management when intracorneal hemorrhages
manifest with netarsudil usePermalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Corneal endothelial blebs induced in scleral lens wearers / Claude Giasson in OVS : Optometry & Vision Science, vol. 96, 11 (Novembre 2019)
[article]
in OVS : Optometry & Vision Science > vol. 96, 11 (Novembre 2019)
Titre : Corneal endothelial blebs induced in scleral lens wearers Type de document : bulletin - dossier Auteurs : Claude Giasson ; Josiane Rancourt ; Josiane Robillard ; Marc Melillo ; Langis Michaud Année de publication : 2019 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus HELB]:Optique:blebs endotheliaux
[Thésaurus HELB]:Paramédical:étiologie
[Thésaurus HELB]:Paramédical:Lentille sclérale
[Thésaurus HELB]:Paramédical:Lentille sclérale /complications
[Thésaurus Mesh]CornéeRésumé : SIGNIFICANCE In the bleb phenomenon, some endothelial cells transiently lose their specular reflection. This has been reported during contact lens wear and goggle-induced hypoxia or hypercapnia.
PURPOSE The purposes of this study were to determine whether blebs appear after scleral lens wear and if their appearance is influenced by lens clearance and to compare bleb and cell sizes.
METHODS Twenty-one subjects were fitted with two similar scleral lenses with different targeted clearances of 200 and 400 μm (the SL200 and SL400, respectively). Each lens was worn unilaterally for 25 minutes, whereas the other eye served as a control. Before and after lens wear, the endothelium was photographed using specular microscopy. The number of blebs and measurements of the areas of cells and blebs were analyzed. Paired t tests compared differences in the areas of cells and blebs. Differences in median bleb number were evaluated using the Wilcoxon test.
RESULTS After wearing the SL200 and SL400 lenses, respectively, 9 and 14 subjects had at least one bleb. The median bleb number after wearing lenses was significantly different (SL200, 0.00; SL400, 1.00; P = .02). Bleb and cell areas were significantly different (blebs, 293 ± 28; cells, 370 ± 32 μm2; P < .0001).
CONCLUSIONS After 25 minutes of wearing scleral lenses with each of the two targeted clearances, SL400 induced significantly more blebs than did SL200, suggesting evidence of reduced oxygen and/or increased carbon dioxide levels under scleral lenses fitted with excessive clearance. Blebs may occur more in smaller cells.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Customization of the scleral lens / Melissa Barnett in Global contact, 85 (Mai-aout 2020)
[article]
in Global contact > 85 (Mai-aout 2020) . - p. 18-21
Titre : Customization of the scleral lens Type de document : article de périodique Auteurs : Melissa Barnett ; Thomas Charles Arnold Année de publication : 2020 Article en page(s) : p. 18-21 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus HELB]:Optique:port de lentilles de contact
[Thésaurus HELB]:Paramédical:Lentille sclérale
[Thésaurus HELB]:Paramédical:Lentille sclérale /complications
[Thésaurus HELB]:Paramédical:Nouvelles technologies
[Thésaurus Mesh]Prise en charge personnalisée du patientRésumé : Scleral lens designs and technology has progressed tremendously in the last decade. However, there are still instances when the fitting is challenging, especially when occular surface irregularities are present. These irregularities include pingueculae, pterygium, conjunctival scars, blebs and glaucoma drainage devices. The goal is for the sceral lens to vault over, no touch these elevations. In these situations, customization may improve the fit of the scleral lens. Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité G Périodique Erasme - périodiques Périodiques Disponible Scleral lens induced conjunctival prolapse : what we know in 2015 / Patrick Caroline in Global contact, 69 (Janvier, février, mars, avril 2015)
[article]
in Global contact > 69 (Janvier, février, mars, avril 2015) . - 26-29
Titre : Scleral lens induced conjunctival prolapse : what we know in 2015 Type de document : article de périodique Auteurs : Patrick Caroline, Auteur Année de publication : 2015 Article en page(s) : 26-29 Descripteurs (mots clés) : [Thésaurus HELB]:Paramédical:Lentille sclérale /complications
[Thésaurus Mesh]Maladies de la conjonctive
[Thésaurus Mesh]ProlapsusMots-clés : Lentille sclérale /complications Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité Périodique Erasme - périodiques Périodiques Disponible