Kim Sujin, Lee Jong Soo, Park Young Kee, Lee Seung Uk, Park Young Min, Lee Jong Heon, Lee Ji-Eun
Department of Ophthalmology, Gyeongsang National University Changwon Hospital, School of Medicine, Gyeongsang National University, Changwon, Korea.
Department of Ophthalmology, School of Medicine, Pusan National University, Busan, Korea.
Clin Exp Optom. 2017 Jul;100(4):375-379. doi: 10.1111/cxo.12424. Epub 2016 Aug 23.
The aim was to evaluate the clinical results of fitting MSD miniscleral contact lenses (MSD; Happy Vision Corp, Anyang, Korea) in Korean patients with keratoconus.
This report presents a retrospective case review of 38 keratoconic patients fitted with MSD lenses. Visual acuity, comfort, mean wear time, final lens parameters, relationships between sagittal depth and topographic indices, success rate with the first lens ordered and adverse events were documented.
The mean logMAR visual acuity was improved from 0.85 ± 0.78 with glasses and 0.28 ± 0.29 with corneal rigid gas-permeable lenses to 0.10 ± 0.11 with miniscleral contact lenses. Ninety-seven per cent of patients found the miniscleral contact lenses to be comfortable and the mean daily wear time was 10.1 ± 2.3 hours. The mean sagittal depth was 4.70 ± 0.35 mm and there was no correlation between sagittal depth and topographic indices. An average of 3.4 trial lenses was needed to decide the ordered lens and 1.3 ordered lenses to achieve the optimal fitting. One patient discontinued the wear of the lenses after three months due to discomfort.
The use of MSD miniscleral contact lenses is a good alternative for patients with keratoconus and for those who failed to respond to other types of lens rehabilitation that results in both successful visual outcome and comfort.
目的是评估在韩国圆锥角膜患者中配戴MSD迷你巩膜接触镜（MSD；韩国安阳Happy Vision公司）的临床效果。
本报告对38例配戴MSD镜片的圆锥角膜患者进行回顾性病例分析。记录视力、舒适度、平均佩戴时间、最终镜片参数、矢状深度与地形指数之间的关系、首次订购镜片的成功率及不良事件。
平均logMAR视力从戴眼镜时的0.85±0.78和戴角膜硬性透气性镜片时的0.28±0.29提高到配戴迷你巩膜接触镜时的0.10±0.11。97%的患者觉得迷你巩膜接触镜佩戴舒适，平均每日佩戴时间为10.1±2.3小时。平均矢状深度为4.70±0.35毫米，矢状深度与地形指数之间无相关性。确定订购镜片平均需要3.4片试戴镜片，实现最佳适配平均需要1.3片订购镜片。1例患者因不适在3个月后停止佩戴镜片。
对于圆锥角膜患者以及对其他类型镜片矫正无反应的患者，使用MSD迷你巩膜接触镜是一种很好的选择，可带来成功的视觉效果和舒适度。
