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一种用于视力康复的透气巩膜接触镜。

A gas-permeable scleral contact lens for visual rehabilitation.

作者信息

Schein O D, Rosenthal P, Ducharme C

机构信息

Cornea Service, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston 02114.

出版信息

Am J Ophthalmol. 1990 Mar 15;109(3):318-22. doi: 10.1016/s0002-9394(14)74558-1.

DOI:10.1016/s0002-9394(14)74558-1
PMID:2309865
Abstract

We evaluated the use of a highly gas-permeable, fluid-filled scleral lens for patients with diseased corneas for whom conventional contact lens strategies failed. Fifteen patients were successfully fit with individually fabricated scleral lenses. Significant corneal hypoxia, which limited the use of previous polymethylmethacrylate scleral lenses, was not encountered. Preliminary results suggest that a gas-permeable scleral lens may offer therapeutic as well as visual benefit to some patients with severe corneal disease.

摘要

我们评估了一种高度透气、充满液体的巩膜镜对角膜病变患者的使用情况,这些患者使用传统隐形眼镜策略均告失败。15名患者成功佩戴了定制的巩膜镜。未出现显著的角膜缺氧情况,而这一情况曾限制了先前聚甲基丙烯酸甲酯巩膜镜的使用。初步结果表明,透气巩膜镜可能会给一些严重角膜疾病患者带来治疗和视觉上的益处。

相似文献

1
A gas-permeable scleral contact lens for visual rehabilitation.一种用于视力康复的透气巩膜接触镜。
Am J Ophthalmol. 1990 Mar 15;109(3):318-22. doi: 10.1016/s0002-9394(14)74558-1.
2
Visual performance of scleral lenses and their impact on quality of life in patients with irregular corneas.巩膜镜的视觉性能及其对不规则角膜患者生活质量的影响。
Arq Bras Oftalmol. 2018;81(6):475-480. doi: 10.5935/0004-2749.20180089. Epub 2018 Sep 13.
3
Use of Scleral Lenses and Miniscleral Lenses After Penetrating Keratoplasty.穿透性角膜移植术后巩膜镜和迷你巩膜镜的应用
Eye Contact Lens. 2016 May;42(3):185-9. doi: 10.1097/ICL.0000000000000163.
4
Fluid-ventilated, gas-permeable scleral contact lens is an effective option for managing severe ocular surface disease and many corneal disorders that would otherwise require penetrating keratoplasty.液体通气、透气的巩膜接触镜是治疗严重眼表疾病和许多角膜疾病的有效选择,否则这些疾病可能需要穿透性角膜移植术。
Eye Contact Lens. 2005 May;31(3):130-4. doi: 10.1097/01.icl.0000152492.98553.8d.
5
Treatment of persistent corneal epithelial defect with extended wear of a fluid-ventilated gas-permeable scleral contact lens.使用透气巩膜软性接触镜长戴治疗持续性角膜上皮缺损
Am J Ophthalmol. 2000 Jul;130(1):33-41. doi: 10.1016/s0002-9394(00)00379-2.
6
Scleral Lens-Induced Corneal Edema after Penetrating Keratoplasty.穿透性角膜移植术后巩膜镜相关角膜水肿。
Optom Vis Sci. 2020 Sep;97(9):697-702. doi: 10.1097/OPX.0000000000001571.
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Mini-scleral lenses in the visual rehabilitation of patients after penetrating keratoplasty and deep lamellar anterior keratoplasty.穿透性角膜移植术和深板层角膜前徙术后患者视觉康复中的微型巩膜镜
Cont Lens Anterior Eye. 2015 Feb;38(1):54-8. doi: 10.1016/j.clae.2014.10.001. Epub 2014 Oct 25.
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Scleral Lenses Reduce the Need for Corneal Transplants in Severe Keratoconus.巩膜镜减少了严重圆锥角膜患者角膜移植的需求。
Am J Ophthalmol. 2018 Jan;185:43-47. doi: 10.1016/j.ajo.2017.10.022. Epub 2017 Nov 16.
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[Gas permeable scleral lenses as a conservative treatment option for extreme corneal ectasias and severe dry eye].[透气巩膜镜作为极端角膜扩张症和严重干眼症的一种保守治疗选择]
Ophthalmologe. 2005 Apr;102(4):387-92. doi: 10.1007/s00347-004-1101-6.
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Scleral lens induced corneal swelling: what is the effect of varying Dk and lens thickness?巩膜镜诱发的角膜水肿:不同透氧系数(Dk)和镜片厚度会产生什么影响?
CLAO J. 1997 Oct;23(4):259-63.

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Spectrum of Scleral Lens Fit and Patient Compliance: A Single Center Retrospective Study.巩膜镜适配范围与患者依从性:一项单中心回顾性研究
Turk J Ophthalmol. 2025 Aug 21;55(4):186-192. doi: 10.4274/tjo.galenos.2025.23238.
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Contact Lens-related Complications: A Review.隐形眼镜相关并发症:综述
J Ophthalmic Vis Res. 2017 Apr-Jun;12(2):193-204. doi: 10.4103/jovr.jovr_159_16.
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Prosthetic replacement of the ocular surface ecosystem: impact at 5 years.眼表生态系统的假体置换:5年时的影响。
Br J Ophthalmol. 2016 Sep;100(9):1171-5. doi: 10.1136/bjophthalmol-2015-307483. Epub 2015 Dec 7.
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Pilot Study for OCT Guided Design and Fit of a Prosthetic Device for Treatment of Corneal Disease.光学相干断层扫描(OCT)引导下用于治疗角膜疾病的假体装置设计与适配的初步研究。
J Ophthalmol. 2012;2012:812034. doi: 10.1155/2012/812034. Epub 2012 Dec 18.
5
Optical functional properties of the Boston Keratoprosthesis.波士顿角膜假体的光学功能特性。
Invest Ophthalmol Vis Sci. 2010 Feb;51(2):857-63. doi: 10.1167/iovs.09-3372. Epub 2009 Oct 8.
6
Use of fluid-ventilated, gas-permeable scleral lens for management of severe keratoconjunctivitis sicca secondary to chronic graft-versus-host disease.使用液体通气、透气的巩膜镜治疗慢性移植物抗宿主病继发的严重干燥性角结膜炎。
Biol Blood Marrow Transplant. 2007 Sep;13(9):1016-21. doi: 10.1016/j.bbmt.2007.05.006. Epub 2007 Jul 20.
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Scleral contact lenses are not optically inferior to corneal lenses.巩膜接触镜在光学性能上并不逊色于角膜接触镜。
Br J Ophthalmol. 2005 Dec;89(12):1662-3. doi: 10.1136/bjo.2005.074377.
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[Gas permeable scleral lenses as a conservative treatment option for extreme corneal ectasias and severe dry eye].[透气巩膜镜作为极端角膜扩张症和严重干眼症的一种保守治疗选择]
Ophthalmologe. 2005 Apr;102(4):387-92. doi: 10.1007/s00347-004-1101-6.