Nauheim J S, Perry H D
Am J Ophthalmol. 1985 Oct 15;100(4):543-6. doi: 10.1016/0002-9394(85)90678-6.
A patient, initially examined at the age of 16 years and monitored for almost two decades, had corneal warpage and keratoconus associated with contact lens wear. Although the patient was advised repeatedly of the risk of continued contact lens use, she persisted. Contact-lens corrected visual acuity continued to deteriorate in the left eye (from 20/20 to 20/200) and keratometric readings continued to increase (from 43.50/44.12 to 56/59). The patient eventually required a corneal transplant in the left eye because of advanced keratoconus. The host button was subjected to light and electron microscopy, which disclosed keratoconus of the round cone type. Spectacle-corrected visual acuity was 20/20 18 months postoperatively.
一名患者最初在16岁时接受检查，并接受了近20年的监测，其角膜变形和圆锥角膜与隐形眼镜佩戴有关。尽管患者多次被告知继续佩戴隐形眼镜的风险，但她仍坚持佩戴。隐形眼镜矫正视力在左眼持续下降（从20/20降至20/200），角膜曲率读数持续增加（从43.50/44.12增至56/59）。由于圆锥角膜进展，该患者最终左眼需要进行角膜移植。对移植的角膜片进行了光学显微镜和电子显微镜检查，结果显示为圆椎型圆锥角膜。术后18个月，框架眼镜矫正视力为20/20。
