Private Practice, İstanbul, Turkey.
University of Health Sciences Turkey, Fatih Sultan Mehmet Training and Research Hospital, Clinic of Ophthalmology, İstanbul, Turkey.
Turk J Ophthalmol. 2020 Aug 26;50(4):234-244. doi: 10.4274/tjo.galenos.2020.70481.
Keratoconus (KC) is a progressive disease that leads to a decrease in visual acuity and quality and impairs vision-related quality of life. Contact lens (CL) application has a primary place and importance in the correction of the optic problems due to the disease. The corneal changes and increased irregular astigmatism that occur with KC progression necessitate special CL designs and fitting methods. In addition to disease stage, the patient's lens tolerance also plays a role in the application of CLs in KC patients. With recent advances in materials and design technology, the CLs used in the treatment of KC have developed considerably and there are various types available. In this review, we discuss the wide range of CLs, including rigid and soft lenses, hybrid and scleral lenses, and even custom lens designs, in light of recent scientific advances.
圆锥角膜（KC）是一种进行性疾病，可导致视力和视质量下降，并损害与视觉相关的生活质量。由于该疾病会导致视力出现问题，因此接触镜（CL）的应用具有主要的地位和重要性。随着 KC 病情的发展，角膜的变化和不规则散光的增加，需要特殊的 CL 设计和适配方法。除了疾病阶段外，患者的镜片耐受性也在 KC 患者 CL 应用中起着作用。随着材料和设计技术的最新进展，用于治疗 KC 的 CL 已经有了很大的发展，并且有各种类型可供选择。在本文中，我们根据最新的科学进展，讨论了包括硬性和软性镜片、混合和巩膜镜片，甚至定制镜片设计在内的各种 CL。
