Efficacy of two silicone-hydrogel bandage contact lenses after corneal crosslinking

dc.authoridOzarslan Ozcan, Deniz/0000-0003-2814-1975
dc.authoridozcan, sait coskun/0000-0002-0608-9371
dc.contributor.authorOzcan, Deniz Ozarslan
dc.contributor.authorOzcan, Sait Coskun
dc.date.accessioned2024-09-18T20:02:52Z
dc.date.available2024-09-18T20:02:52Z
dc.date.issued2021
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractSilicone-hydrogel (SiH) contact lenses are frequently used as a bandage after anterior segment surgical procedures. Several types of lenses may exhibit clinical performances with different characteristics. This study aims to evaluate the efficacy of two SiH contact lenses following corneal crosslinking (CXL). Forty-nine keratoconus patients scheduled for consecutive CXL surgery in both eyes were included in this comparative, double-blind, prospective study. A Balafilcon A (Pure Vision 2 HD, Bausch+Lomb, Rochester, NY, USA) or Lotrafilcon B (Air Optix Aqua, Ciba Vision, Duluth, GA, USA) lens was fitted in a randomised fashion in the eyes at the end of the CXL. Remaining epithelial defect area measured by slitlamp biomicroscopy, subjective level of pain and discomfort with visual analogue scale (VAS) and total number of oral analgesics taken were evaluated and compared at post-operative days 0, 1, 2 and 3. The average epithelial defect size was significantly smaller in the eyes with Lotrafilcon B than the eyes with Balafilcon A at post-operative Day 1 (31.2 +/- 4.3 mm(2) and 33.8 +/- 5.2 mm(2), respectively, p < 0.001) and Day 2 (8.2 +/- 3.6 mm(2) and 10.5 +/- 5.4 mm(2), respectively, p = 0.039). There was no statistically significant in the average epithelial defect size between the groups at Day 3 (p = 0.859). Re-epithelialisation time was similar in both groups (p = 0.317) There was no statistically significant difference in VAS scores regarding the lens type in any post-operative follow-up. The mean oral analgesic numbers were similar in both groups (p = 0.217). SiH contact lenses can be used as an effective bandage for corneal re-epithelialisation after CXL. The material and features of bandage contact lens used after CXL may affect the corneal re-epithelialisation process. Lotrafilcon B lens showed faster re-epithelialisation at post-operative days 1 and 2 after CXL.en_US
dc.identifier.doi10.1080/08164622.2021.1878838
dc.identifier.endpage509en_US
dc.identifier.issn0816-4622
dc.identifier.issn1444-0938
dc.identifier.issue4en_US
dc.identifier.pmid33689606en_US
dc.identifier.scopus2-s2.0-85102275778en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage505en_US
dc.identifier.urihttps://doi.org/10.1080/08164622.2021.1878838
dc.identifier.urihttps://hdl.handle.net/20.500.12483/8067
dc.identifier.volume104en_US
dc.identifier.wosWOS:000645840100009en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTaylor & Francis Ltden_US
dc.relation.ispartofClinical and Experimental Optometryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBandage contact lensen_US
dc.subjectcorneal crosslinkingen_US
dc.subjectsilicone hydrogel contact lensen_US
dc.titleEfficacy of two silicone-hydrogel bandage contact lenses after corneal crosslinkingen_US
dc.typeArticleen_US

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