[Treatment of corneal complications after cataract surgery with soft contact lenses].

PURPOSE

To evaluate results of therapeutic soft contact lenses in treatment of corneal complication after cataract surgery. MATERIAL NAD METHODS: We examined 25 patients (25 eyes) with cataract operated on in the years 1990-1994, who developed corneal complications. All patients were treated with use of soft contact lenses and the effect on healing a cornea was evaluated. We used Bausch & Lomb and Cooper Vision lenses. We qualified for treatment such cases as: bullous keratopathy, marginal infiltration erosion, central ulceration, complicated with perforation and protracted ulceration with no result after pharmacological therapy. Contact lenses were applied for period from 10 days to 6 months. During follow up examinations we evaluated time of healing a cornea, its anatomical condition and function.

RESULTS

The best therapeutic result was achieved in 12 cases such as erosions, central ulceration, marginal infiltration, in 7 cases temporary improvement appeared, in 6 no result was observed. Two last groups applied patients with bullous keratopathy.

CONCLUSION

Soft contact lenses are valuable methods of treating some corneal disorders, in other cases they may be used during a preparation period before corneal transplantation. The main function of lenses is to protect diseased tissue and help it return to its anatomical and physiological functional state. At the same time they are meant to be the best therapeutic repository for medications.