Objective and subjective evaluation of the performance of medical contact lenses fitted using a contact lens selection algorithm.pdfVIP

Objective and subjective evaluation of the performance of medical contact lenses fitted using a contact lens selection algorithm.pdf

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Objective and subjective evaluation of the performance of medical contact lenses fitted using a contact lens selection algorithm.pdf

Contact Lens and Anterior Eye 39 (2016) 298–306 Contents lists available at ScienceDirect Contact Lens and Anterior Eye journal homepage: /locate/clae Objective and subjective evaluation of the performance of medical contact lenses ?tted using a contact lens selection algorithm Esther-Simone Vissera,*, Robert P.L. Wisseb, Nienke Soetersb, Saskia M. Imhofb, Allegonda Van der Lelijb,c a Visser Contact Lens Practice, Department of Ophthalmology, University Medical Center Utrecht, Room L.02.628, Postbus 85500, 3508 GA Utrecht, The Netherlands b Department of Ophthalmology, University Medical Center Utrecht, Postbus 85500, 3508 GA Utrecht, The Netherlands c Department of Ophthalmology, Central Military Hospital Utrecht, Postbus 90000, 3509 AA Utrecht, The Netherlands ARTICLE INFO Article history: Received 8 October 2015 Received in revised form 17 December 2015 Accepted 4 February 2016 Keywords: Lens selection algorithm Scleral lenses Medical contact lenses Keratoconus Dry eye disease Keratoplasty ABSTRACT Purpose: To evaluate the performance of medical contact lenses (CLs) for a wide range of clinical indications. Design: Prospective cross-sectional study. Methods: A total of 281 eyes were evaluated in 281 consecutive patients (!18 years of age; CL use !3 months) who visited the contact lens service in a tertiary academic clinic for a scheduled follow-up visit. The main outcome measured were clinical indications for CL wear; CL type; change in corrected distance visual acuity (CDVA) with CL use; CL wearing duration; CL wearing time; subjective performance measured using a visual analog scale (VAS) questionnaire (score range: 0–100); and effectiveness of the lens-selection algorithm. Results: Wearing CLs signi?cantly improved CDVA compared to wearing spectacles (median change: à0.15 logMAR, range: 1.00 to à2.10; P.001). Daily-wear CLs were worn by 77% of patients for a median of 15 h/day (range: 5–18 h/day), median 7 days/week (range: 1–7 days/week). High subjective scor

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