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Adaptação de lente de contato em afacia traumática unilateral

Adaptação de lente de contato em afacia traumática unilateral

Autores:

Arnaud Araújo Filho,
Sérgio Kwitko,
Ricardo Uras,
César Lipener

ARTIGO ORIGINAL

Arquivos Brasileiros de Oftalmologia

versão impressa ISSN 0004-2749versão On-line ISSN 1678-2925

Arq. Bras. Oftalmol. vol.55 no.6 São Paulo nov./dez. 1992

http://dx.doi.org/10.5935/0004-2749.19920007

SUMMARY

A retrospective study of contact lenses fitting in unilateral traumatic aphakia was undertaken in 52 eyes of 52 patients, aging from 3 to 63 years. The most frequent type of trauma was perforation (55,77%). Success in contact lenses fitting was achieved in 84,61%. Poor visual acuity with contact lenses was the major factor for the insuccess of the remaining (15,39%).

Contact lenses intolerance was found to be the most common complication during the follow-up period. The contact lenses types fitting was: 47,73% diary soft contact lenses, 36,36% GP rigid contact lenses 15,91% rigid contact lenses. The final corrected visual acuity was 20/40 or better in 27 patients (51,92%). The causes of fitting insuccess are discussed.

REFERÊNCIAS

1 EAGUNG, E.M.: Perforating injuries of the eye. Br. J. Ophthalmol. 60: 732-736, 1976.
2 EPSTEIN, R.J.; FERNANDES, A; GAMMON, J.A. - The correction of aphakia in infants with hydrogelextended-wear contact lenses Ophthalmol. 95: 1102-1106, 1988.
3 GUENSTEIN, V; GOLDSTEIN, J.H.; ADLER, R.I.; KARP, E. - Prognosis for binocular vision in monocular trauma. Br. Orthop. J. 33: 44-47, 1976.
4 INSLER, M.S. and HELM. C.J. - Traumatic cataract management in penetrating ocular injury. Clao J. 15: 78-81, 1989.
5 JAIN, I.S.; MOHAN, K. and GUPTA, A. - Unilateral traumatic aphakia in children: role of corneal contact lenses. J. Pediatr. Ophthalmol. Strabismus 22: 137-139, 1985.
6 LIN, D.T.C.; WEBSTER, R.G. Jr; ABBOT, R.L. - Repair of cornea lacerations and perforation. Int. Ophthalmol. Clin. 28: 69-75, 1988.
7 LOBASCHER, D.; CHASTON, J.; MORRIS, J. et al.: Soft contact lenses in cases of aphakia. Br. J. Ophthalmol. 58: 1009, 1974.
8 MOREIRA, S.M.B & MOREIRA, C.A. - Adaptação de lentes de contato em crianças. Arq. Bras. Oftal. 43: 170-171, 1980.
9 ROPPER-HALL, M.J. - Traumatic cataractes In: Freeman HM - Ocular Trauma. Appleton, Century and Crofts, 1979 p 151-159.
10 RUBEN, M. - Contact lenses: specialized fitting techniques, In: STENSON, S.M. - Contact Lenses: A guide toselection, fítting and management of complications. Norwalk, Appleton and Lange, 1987 p 112 a 116.
11 SMIDDY, W.E.; HAMBURG, T.R.; KRACHER, G.P.; GOTISCH, J.D.; STARK, W.J. - Contact lenses for visual rehabilitation after corneal laceration repair. Ophthalmol. 96: 293-298, 1989.