Visual performance and optical quality with soft lenses in keratoconus patients

Amit Jinabhai, Hema Radhakrishnan, Cindy Tromans, Clare O'Donnell

Research output: Contribution to journalArticle

Abstract

Purpose: To assess visual performance and ocular aberrations in keratoconic patients using toric soft contact lenses (SCL), rigid-gas-permeable (RGP) contact lenses and spectacle lens correction. Methods: Twenty-two keratoconus patients (16 RGP lens wearers and six spectacle wearers) were fitted with toric SCL. Ocular aberrations were measured with and without the patient's habitual RGP lenses and with the SCL in place. In the spectacle wearers, aberrations were measured with and without the SCL. Visual performance (high- and low-contrast visual acuity) was evaluated with the patient's habitual correction and with the SCL. Results: In the RGP lens wearers both the habitual lenses and the toric SCL significantly reduced coma, trefoil, 3rd-order, 4th-order cylinder and higher-order root-mean-square (RMS) aberrations (p≤0.015). In the spectacle wearers the toric SCL significantly reduced coma, 3rd-order and higher-order RMS aberrations (p≤0.01). The patients' habitual RGP lenses gave better low-contrast acuity (p≤0.006) compared to the toric SCL; however, no significant difference was found between lens types for high-contrast acuity (p=0.10). In the spectacle wearers no significant differences in visual performance measurements were found between the patients' spectacles and the toric SCL (p≥0.06). Conclusion: The results show that RGP lenses provided superior visual performances and greater reduction of 3rd-order aberrations compared to toric SCL in this group of keratoconic patients. In the spectacle-wearing group, visual performance with the toric SCL was found to be comparable to that measured with spectacles. Nevertheless, with the exception of spherical aberration, the toric SCL were successful in significantly reducing uncorrected higher-order aberrations. Ophthalmic & Physiological Optics

LanguageEnglish
Pages100-116
Number of pages17
JournalOphthalmic and Physiological Optics
Volume32
Issue number2
Early online date24 Jan 2012
DOIs
Publication statusPublished - Mar 2012

Fingerprint

Hydrophilic Contact Lens
Keratoconus
Lenses
Gases
Coma
Contact Lenses
Visual Acuity

Keywords

  • coma RMS
  • higher-order aberrations
  • keratoconus
  • RGP lenses
  • soft contact lenses
  • visual acuity

Cite this

Jinabhai, Amit ; Radhakrishnan, Hema ; Tromans, Cindy ; O'Donnell, Clare. / Visual performance and optical quality with soft lenses in keratoconus patients. In: Ophthalmic and Physiological Optics. 2012 ; Vol. 32, No. 2. pp. 100-116.
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Visual performance and optical quality with soft lenses in keratoconus patients. / Jinabhai, Amit; Radhakrishnan, Hema; Tromans, Cindy; O'Donnell, Clare.

In: Ophthalmic and Physiological Optics, Vol. 32, No. 2, 03.2012, p. 100-116.

Research output: Contribution to journalArticle

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