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Role of bandage contact lens in corneal wound healing
1. Role of Bandage Contact
Lens in
Corneal Wound Healing
Prakash Paudel, Asik Pradhan, Dr. Meenu Chaudhary
TU, Institute of Medicine,
B. P. Koirala Lions Centre for Ophthalmic Studies
2. What is a Contact Lens?
“Contact Lens”
a thin transparent lens
made up of different
materials like PMMA,
HEMA, Silicon-Acrylic
etc.
3. Why contact lenses?
Purposes of Contact
lenses
optical, therapeutic,
prosthesis and
cosmesis.
4. Why contact lenses?
Refractive correction
Keratoconus
Post - PKP
Post - Refractive
Surgery
5. Why contact lenses?
Refractive Errors
treatment
Can MOLD cornea to
decrease myopia
“Orthokeratology” or
Corneal Refractive
Therapy (CRT)
6. Why contact lenses?
Pediatric use
Congenital aphakia
High anisometropia
Amblyopia Tx
Patching alternative
Prosthetic use
To hide blemish
Therapeutic use
(Bandage Contact Lens)
7. Bandage Contact Lens
Hydrophilic in nature with high water
content (>55%)
VA not a primary function
Aids regular corneal healing
Prevents eyelid from rubbing damage
cornea
Alleviates symptoms e.g. bullous
keratopathy
Maintains corneal hydration e.g. severe
dry eye conditions
9. Objective
General Objective
To find out the efficacy of bandage contact lens (BCL)
in corneal wound healing.
Specific Objective
To find out the common reason for BCL wear
To evaluate the duration of corneal healing
To find out the specific age group who are likely to
have corneal defects
To find out the duration of heal with respect to its
location
To find out the improvement in visual acuity
10. Methodology
Retrospective study
20 record files at Contact Lens Clinic, BPKLCOS
evaluated in detail
Study population
15 (who maintained regular F/U)
Recorded parameters
Age & gender, cause of wear, presenting VA &
final VA, location of defects, duration of healing &
microbial involvement
11. Methodology
Slit lamp Examination
Rule out obvious
contraindications
Evaluate CL fit
CL Fit & Evaluation
17. Results
3
1
5 5
0
1
2
3
4
5
No.
<1 w eeks 1 w ks - 2
w ks
2w ks - 3
w ks
>3 w ks
Duration
Duration of Healing Location of Corneal Defects
Central, 6,
40%
Peripheral,
5, 33%
Paracentral,
4, 27%
18. Discussion
Rahim et al (1990) reported a high success rate when non
infected perforation, less than 3mm in size, were treated
with thin, high water content lenses worn for 1-2 weeks.
With the use of tissue adhesive and a bandage contact
lens, corneal perforation in 50% of the cases healed
completely. (Weiss et al, 1983).
Acheson et al, 1987 concluded that abrasions over 4mm
in size healed more quickly and cause less discomfort
than compared to occlusive pads.
19. Conclusion
VKC with sealed ulcer was the most common reason
for BCL wear.
Male: Female= 4:1
Patients having visual acuity < 6/12 were more than
half in number and all of them regained normal acuity
by the use of BCL.
Corneal defects were most likely among 16-40 years
aged.
Normal VA was restored in sterile corneal
defects/ulcers.
One-fifth of the cases were culture positive.
Normal duration for corneal wound healing was more
than 2 weeks.
Patients with peripheral and paracentral corneal
wounds had regained normal VA.
20. Recommendation
Bandage Contact Lens is a very
efficient device for corneal wound
healing.
Patients with several types of
corneal defects need emergent
referral for BCL wear so as to
restore the normal acuity.