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Visual reabilitation with contact lenses after corneal keratoplasty

Abstract

Contact lens fitting after corneal transplantation has been considered a challenge in visual rehabilitation. There is currently the possibility of adapting contact lenses of various sizes, various designs and with different thicknesses and materials, such as gelatinous lenses, gas-permeable rigid corneal lenses, corneal-scleral lenses, mini-scleral and scleral lenses. The objective of this study was to present a review of current literature that may exemplify the use of some of the different types of contact lenses that can be used after corneal transplantation. An integrative review of the medical literature in the English language, using as a database for the research, Pubmed and Mendeley. Twenty six articles were selected, with year of publication between 2001 and 2018, as inclusion criterion, the relevance of articles according to the authors' experience was used. Five articles were selected that have as main subject corneal transplantation, nine articles on contact lenses in general, and 12 articles on scleral or mini scleral contact lenses. Due to the greater transmissibility of oxygen to the cornea, the use of rigid gas-permeable corneal lenses was shown to be safer and more likely to be used for a longer period of time.

Keywords:
Corneal keratoplasty; Penetrating keratoplasty; Contact lens, Gas permeable rigid contact lenses; Scleral lens, Mini scleral lenses

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