Therapeutic uses of contact lenses

doi:10.1016/0039-6257(89)90015-5

Survey of Ophthalmology

Volume 33, Issue 5, March–April 1989, Pages 381-394

https://doi.org/10.1016/0039-6257(89)90015-5 Get rights and content

Abstract

Therapeutic use of contact lenses is an essential element in ophthalmic care. Materials currently in use include polymethyl methacrylate (PMMA), cellulose acetate butyrate, siloxane-containing polymethacrylates, silicones, and hydrogels. Suitability of a material for therapeutic contact lens use is determined by the physical, chemical, and mechanical properties (notably gas permeability and hydrophilicity, but also lipid absorption and lens movement, among others) and the condition to be treated; fabrication techniques are likewise important, affecting lens diameter and base curve. Selection and fitting of therapeutic contact lenses requires knowledge of how different contact lenses affect corneal physiology, as well as an understanding of the mechanisms whereby a contact lens can be therapeutic. In addition to these topics, general fitting guidelines are discussed, and results of therapeutic lens use in selected clinical situations (including recurrent erosion, metaherpetic ulcers and other epithelial defects, and keratitis sicca, and other dry eye states). Common therapeutic contact lens complications and their treatment are also discussed.

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Therapeutic reviewTherapeutic uses of contact lenses

Abstract

Am J Ophthalmol

Am J Ophthalmol

Am J Ophthalmol

Ophthalmology

Am J Ophthalmol

Am J Ophthalmol

Ophthalmology

Am J Ophthalmol

Am J Ophthalmol

Am J Ophthalmol

Am J Ophthalmol

Am J Ophthalmol

Am J Ophthalmol

Ophthalmology

J Am Optom Assoc

Am J Ophthalmol

Am J Ophthalmol

Invest Ophthalmol Vis Sci

Ann Ophthalmol

Am J Physiol Opt

Invest Ophthalmal Vis Sci

Am J Ophthalmol

Case report — Use of cosmetic contact lens for heterochromia, iris atrophy and opaque cataract

J Am Optom Assoc

The treatment of herpetic stromal disease

Eye Ear Nose Throat

The soft contact lens. I. Therapeutic experience with the soft contact lens

Int Ophthalmol Clin

Hydrophilic bandage lenses in penetrating keratoplasty

Ann Ophthalmol

New aspects of contact lenses in ophthalmology

Adv Ophthalmol

Management of corneal descemetoceles and perforations

Trans Am Ophthalmol Soc

Possibility of isoproterenol therapy with soft contact lenses: Ocular hypotension without systemic effects

Ann Ophthalmol

Selection and fitting of therapeutic lenses

Medical and surgical management of corneal thinnings and perforations

Int Ophthalmol Clin

Circinate — pattern interstitial keratopathy in daily wear soft contact lens wearers

Arch Opthalmol

Intraocular penetration of bacitracin and polymyxin B after administration by means of hydrophilic gel contact lenses

Opthalmol Res

Scleral perforation — A complication of the soft contact lens

Arch Ophthalmol

Herpetic ocular disease: Therapy of persistent epithelial defects

Int Ophthalmol Clin

The pathogenesis and treatment of persistent epithelial defects

Trans Am Acad Ophthalmol Otolaryngol

Extended wear contact lens in aphakia: Physiology, lens design, fitting and results

Extended wear contact lenses in aphakia; patient selection and complications

The pharmacokinetics of antibiotics vehicled by soft content lenses: An experimental approach

Contact Intraocular Lens Med J

The use of therapeutic soft contact lenses in corneal disease

Postkeratoplasty contact lens fitting

Int Ophthalmol Clin

Stromal vascularization prevents corneal ulcerations

Invest Ophthalmol Vis Sci

Morphological, histochemical and x-ray microanalytical examination of deposits on soft contact lenses in extended wearing

Acta Ophthalmol

Use of inverted telescopic corrections incorporating soft contact lenses in the partial correction of aniseikonia in cases of unilateral aphakia

Adv Ophthalmol

The effect of cleaning soft contact lenses: A scanning electron microscopic study

Arch Ophthalmol

Surface deposits on worn hard contact lenses

Arch Ophthalmol

Topical acetazolamide and methazolamide delivered by contact lenses

Arch Ophthalmol

Therapeutic review
Therapeutic uses of contact lenses