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An ocular surface prosthesis for keratoglobus and Terrien's marginal degeneration.

Identifieur interne : 000757 ( PubMed/Corpus ); précédent : 000756; suivant : 000758

An ocular surface prosthesis for keratoglobus and Terrien's marginal degeneration.

Auteurs : Rajeswari Mahadevan ; Asra Fathima ; Rajni Rajan ; Amudha Oli Arumugam

Source :

RBID : pubmed:24492760

English descriptors

Abstract

This case report describes the challenges in fitting corneas using the prosthetic replacement of ocular surface ecosystem (PROSE) device in a unique case of bilateral keratoglobus (KG) with Terrien's marginal degeneration (TMD).

DOI: 10.1097/OPX.0000000000000200
PubMed: 24492760

Links to Exploration step

pubmed:24492760

Le document en format XML

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<title xml:lang="en">An ocular surface prosthesis for keratoglobus and Terrien's marginal degeneration.</title>
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<name sortKey="Mahadevan, Rajeswari" sort="Mahadevan, Rajeswari" uniqKey="Mahadevan R" first="Rajeswari" last="Mahadevan">Rajeswari Mahadevan</name>
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<nlm:affiliation>*PhD †MPhil Contact Lens Department, Medical Research Foundation, Sankara Nethralaya, Chennai, India.</nlm:affiliation>
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<name sortKey="Fathima, Asra" sort="Fathima, Asra" uniqKey="Fathima A" first="Asra" last="Fathima">Asra Fathima</name>
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<name sortKey="Rajan, Rajni" sort="Rajan, Rajni" uniqKey="Rajan R" first="Rajni" last="Rajan">Rajni Rajan</name>
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<author>
<name sortKey="Arumugam, Amudha Oli" sort="Arumugam, Amudha Oli" uniqKey="Arumugam A" first="Amudha Oli" last="Arumugam">Amudha Oli Arumugam</name>
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<title xml:lang="en">An ocular surface prosthesis for keratoglobus and Terrien's marginal degeneration.</title>
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<name sortKey="Mahadevan, Rajeswari" sort="Mahadevan, Rajeswari" uniqKey="Mahadevan R" first="Rajeswari" last="Mahadevan">Rajeswari Mahadevan</name>
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<nlm:affiliation>*PhD †MPhil Contact Lens Department, Medical Research Foundation, Sankara Nethralaya, Chennai, India.</nlm:affiliation>
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<name sortKey="Fathima, Asra" sort="Fathima, Asra" uniqKey="Fathima A" first="Asra" last="Fathima">Asra Fathima</name>
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<name sortKey="Rajan, Rajni" sort="Rajan, Rajni" uniqKey="Rajan R" first="Rajni" last="Rajan">Rajni Rajan</name>
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<name sortKey="Arumugam, Amudha Oli" sort="Arumugam, Amudha Oli" uniqKey="Arumugam A" first="Amudha Oli" last="Arumugam">Amudha Oli Arumugam</name>
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<title level="j">Optometry and vision science : official publication of the American Academy of Optometry</title>
<idno type="eISSN">1538-9235</idno>
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<term>Bioprosthesis</term>
<term>Corneal Dystrophies, Hereditary (complications)</term>
<term>Corneal Dystrophies, Hereditary (therapy)</term>
<term>Corneal Pachymetry</term>
<term>Corneal Topography</term>
<term>Female</term>
<term>Humans</term>
<term>Keratoconus (complications)</term>
<term>Keratoconus (therapy)</term>
<term>Prosthesis Fitting</term>
<term>Sclera</term>
<term>Tomography, Optical Coherence</term>
<term>Vision Disorders (rehabilitation)</term>
<term>Visual Acuity (physiology)</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Corneal Dystrophies, Hereditary</term>
<term>Keratoconus</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Visual Acuity</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Vision Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Corneal Dystrophies, Hereditary</term>
<term>Keratoconus</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Bioprosthesis</term>
<term>Corneal Pachymetry</term>
<term>Corneal Topography</term>
<term>Female</term>
<term>Humans</term>
<term>Prosthesis Fitting</term>
<term>Sclera</term>
<term>Tomography, Optical Coherence</term>
<term>Young Adult</term>
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<front>
<div type="abstract" xml:lang="en">This case report describes the challenges in fitting corneas using the prosthetic replacement of ocular surface ecosystem (PROSE) device in a unique case of bilateral keratoglobus (KG) with Terrien's marginal degeneration (TMD).</div>
</front>
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<DateCreated>
<Year>2014</Year>
<Month>03</Month>
<Day>27</Day>
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<DateCompleted>
<Year>2014</Year>
<Month>05</Month>
<Day>20</Day>
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<Journal>
<ISSN IssnType="Electronic">1538-9235</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>91</Volume>
<Issue>4 Suppl 1</Issue>
<PubDate>
<Year>2014</Year>
<Month>Apr</Month>
</PubDate>
</JournalIssue>
<Title>Optometry and vision science : official publication of the American Academy of Optometry</Title>
<ISOAbbreviation>Optom Vis Sci</ISOAbbreviation>
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<ArticleTitle>An ocular surface prosthesis for keratoglobus and Terrien's marginal degeneration.</ArticleTitle>
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<MedlinePgn>S34-9</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1097/OPX.0000000000000200</ELocationID>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">This case report describes the challenges in fitting corneas using the prosthetic replacement of ocular surface ecosystem (PROSE) device in a unique case of bilateral keratoglobus (KG) with Terrien's marginal degeneration (TMD).</AbstractText>
<AbstractText Label="CASE REPORT" NlmCategory="METHODS">KG and TMD are uncommon corneal ectatic conditions, characterized by protrusion and thinning of the cornea. Optical correction with spectacles is limited, as this may not provide the best-corrected visual acuity because of irregular corneal astigmatism. Corneal gas-permeable lenses can provide optimal vision, but they have poor fitting characteristics in advanced stages. The PROSE device has the advantage of masking the irregularity of the cornea with a tear lens and a contact lens power that provides a smooth refractive surface. This case report describes the fitting aspects of the PROSE device in a case diagnosed with KG and TMD. A generous vault allows the PROSE device to sink into the conjunctiva more, causing impingement, but a PROSE with higher vault is required as corneal clearance decreases with wear time. Corneal thickness measurements during the trial can give a better idea of corneal edema expected after prescribing the PROSE device. Optical coherence tomography is a useful tool for measuring diurnal changes in the corneal thickness and vault over a period in such challenging cases.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Modification of not only the vault but also the haptic and total diameter of the device is required to achieve an optimal fit. Though challenging, successful fitting of the scleral lens in ectatic corneas is attainable, with the aid of anterior imaging and spline technologies.</AbstractText>
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<Affiliation>*PhD †MPhil Contact Lens Department, Medical Research Foundation, Sankara Nethralaya, Chennai, India.</Affiliation>
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<DescriptorName MajorTopicYN="Y" UI="D001705">Bioprosthesis</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D017755">Prosthesis Fitting</DescriptorName>
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<DescriptorName MajorTopicYN="Y" UI="D012590">Sclera</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D041623">Tomography, Optical Coherence</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D014786">Vision Disorders</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000534">rehabilitation</QualifierName>
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<DescriptorName MajorTopicYN="N" UI="D014792">Visual Acuity</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000502">physiology</QualifierName>
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