Institute of Vision and Optics, University of Crete, 71003 Heraklion, Crete, Greece.
Cont Lens Anterior Eye. 2011 Dec;34(6):290-2. doi: 10.1016/j.clae.2011.07.002. Epub 2011 Jul 30.
A 58-year-old man presented with corneal dellen twelve days after pterygium removal on his left eye. Initial treatment with lubrication and artificial tears was unsuccessful. The fitting of a conventional contact lens was not possible because of conjuctival chemosis. Additionally the patient denied eye patching due to professional reasons. As an alternative treatment a large diameter bandage soft contact lens approved for extended wear was applied ((David Thomas Contact Lens T74/85 Extended Wear/Bandage of 18mm diameter). The next day corneal dellen had already began to retreat and four days later the contact lens was removed since there was no sign of dellen in the slit lamp examination. In conclusion, the use of a large diameter soft contact lens was an effective alternative solution for the treatment of corneal dellen in our patient.
一位 58 岁男性左眼翼状胬肉切除术后 12 天出现角膜水肿。最初的治疗方法是使用润滑和人工泪液，但效果不佳。由于结膜水肿，传统隐形眼镜的适配也不可行。此外，由于职业原因，患者拒绝戴眼罩。作为替代治疗方法，我们为患者使用了一种经批准可长时间佩戴的大直径绷带软接触镜（David Thomas Contact Lens T74/85 Extended Wear/Bandage，直径 18mm）。第二天，角膜水肿已经开始消退，四天后，由于裂隙灯检查未发现水肿迹象，我们将隐形眼镜取下。总之，在我们的患者中，使用大直径软接触镜是治疗角膜水肿的有效替代方法。
