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Fitting postop contact lenses early helpful for PK patients

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ATLANTA — Fitting penetrating keratoplasty patients for contact lenses early in the postoperative period helps them regain vision and may have a long-term benefit for corneal shaping, a surgeon said here.

S. Lance Forstot

"I think early contact lens fitting can be done following grafts, visually rehabilitating these patients quite early," S. Lance Forstot, MD, FACS, said at the American Academy of Ophthalmology meeting. "We have the advantage of a denervated central cornea."

This denervation increases comfort for these patients, he said.

Dr. Forstot presented a retrospective, non-consecutive study of 12 patients fitted as early as 4 weeks after PK surgery. Ten of these patients were 20/20 with their contact lenses; two were 20/30.

There was an average decrease in cylinder over the first 3 months of about 3.5 D, he said.

"Patients usually wear their lenses all day," Dr. Forstot said. "As a secondary benefit, I think early contact lens fitting may form a permanent rehabilitation and shaping of the cornea."