4 Topic Commentaries

Fitting Irregular Corneas Secondary to Penetrating Keratoplasty

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  Mark A. Greiner, MD

  Cornea, External Disease and Refractive Surgery

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  University of Iowa, Department of Ophthalmology & Visual Sciences

  Frequently, there is substantial postoperative refractive error due to high regular or irregular astigmatism of the graft, and a higher chance of requiring rigid gas permeable contact lens wear to correct astigmatic error.

  Source
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  David A. Meyer, OD, FAAO

  Optometry; Specialty Contact Lens Fitting

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  John A. Moran Eye Center, University of Utah Health

  They’re made specifically for irregular corneas and are much larger than rigid lenses, so they rest on the entire white part of the eye,” says Meyer. “They do a great job of sealing around the eye.

  Source
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  Jeremy Philip Goldman, OD

  Optometry; Medically Necessary/Specialty Contact Lenses

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  Wilmer Eye Institute, Johns Hopkins Medicine

  For many of these people, glasses are not helpful,” Goldman says. “These rigid, gas-permeable contact lenses focus light in a way that the patient's own cornea can't, because it has been misshapen or injured from surgery or disease.

  Source
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  Michelle Hessen, OD

  Optometry; Ocular Surface Disease and PROSE/Scleral Lenses

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  Wilmer Eye Institute, Johns Hopkins Medicine

  They're able to go back to their daily activities and have significantly better quality of life,” Hessen says.

  Source