Assessment by Optical Coherence Tomography of Short-Term Changes in IOP-Related Structures Caused by Wearing Scleral Lenses
Background: The mechanism that could increase intraocular pressure (IOP) during scleral lens (SL) wear is not fully understood, although it may be related to compression of the landing zone on structures involved in aqueous humor drainage. Methods: Thirty healthy subjects were fitted with two SLs of...
Ausführliche Beschreibung
Autor*in: |
Juan Queiruga-Piñeiro [verfasserIn] Alberto Barros [verfasserIn] Javier Lozano-Sanroma [verfasserIn] Andrés Fernández-Vega Cueto [verfasserIn] Ignacio Rodríguez-Uña [verfasserIn] Jesús Merayo-LLoves [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2023 |
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Übergeordnetes Werk: |
In: Journal of Clinical Medicine - MDPI AG, 2013, 12(2023), 14, p 4792 |
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Übergeordnetes Werk: |
volume:12 ; year:2023 ; number:14, p 4792 |
Links: |
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DOI / URN: |
10.3390/jcm12144792 |
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Katalog-ID: |
DOAJ093883080 |
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520 | |a Background: The mechanism that could increase intraocular pressure (IOP) during scleral lens (SL) wear is not fully understood, although it may be related to compression of the landing zone on structures involved in aqueous humor drainage. Methods: Thirty healthy subjects were fitted with two SLs of different sizes (L1 = 15.8 mm, L2 = 16.8 mm) for 2 h in the right eye and left eye as a control. Central corneal thickness (CCT), parameters of iridocorneal angle (ICA), Schlemm’s canal (SC), and optic nerve head were measured before and after wearing both SLs. IOP was measured with a Perkins applanation tonometer before and after lens removal and with a transpalpebral tonometer before, during (0 h, 1 h, and 2 h), and after lens wear. Results: CCT increased after wearing L1 (8.10 ± 4.21 µm; <i<p</i< < 0.01) and L2 (9.17 ± 4.41 µm; <i<p</i< < 0.01). After L1 removal, the ICA parameters decreased significantly (<i<p</i< < 0.05). With L2 removal, nasal and temporal SC area and length were reduced (<i<p</i< < 0.05). An increased IOP with transpalpebral tonometry was observed at 2 h of wearing L1 (2.55 ± 2.04 mmHg; <i<p</i< < 0.01) and L2 (2.53 ± 2.22 mmHg; <i<p</i< < 0.01), as well as an increased IOP with Perkins applanation tonometry after wearing L1 (0.43 ± 1.07 mmHg; <i<p</i< = 0.02). Conclusions: In the short term, SL resulted in a slight increase in IOP in addition to small changes in ICA and SC parameters, although it did not seem to be clinically relevant in healthy subjects. | ||
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10.3390/jcm12144792 doi (DE-627)DOAJ093883080 (DE-599)DOAJa058d86c703e49deb75a3d4a2f61c6c5 DE-627 ger DE-627 rakwb eng Juan Queiruga-Piñeiro verfasserin aut Assessment by Optical Coherence Tomography of Short-Term Changes in IOP-Related Structures Caused by Wearing Scleral Lenses 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: The mechanism that could increase intraocular pressure (IOP) during scleral lens (SL) wear is not fully understood, although it may be related to compression of the landing zone on structures involved in aqueous humor drainage. Methods: Thirty healthy subjects were fitted with two SLs of different sizes (L1 = 15.8 mm, L2 = 16.8 mm) for 2 h in the right eye and left eye as a control. Central corneal thickness (CCT), parameters of iridocorneal angle (ICA), Schlemm’s canal (SC), and optic nerve head were measured before and after wearing both SLs. IOP was measured with a Perkins applanation tonometer before and after lens removal and with a transpalpebral tonometer before, during (0 h, 1 h, and 2 h), and after lens wear. Results: CCT increased after wearing L1 (8.10 ± 4.21 µm; <i<p</i< < 0.01) and L2 (9.17 ± 4.41 µm; <i<p</i< < 0.01). After L1 removal, the ICA parameters decreased significantly (<i<p</i< < 0.05). With L2 removal, nasal and temporal SC area and length were reduced (<i<p</i< < 0.05). An increased IOP with transpalpebral tonometry was observed at 2 h of wearing L1 (2.55 ± 2.04 mmHg; <i<p</i< < 0.01) and L2 (2.53 ± 2.22 mmHg; <i<p</i< < 0.01), as well as an increased IOP with Perkins applanation tonometry after wearing L1 (0.43 ± 1.07 mmHg; <i<p</i< = 0.02). Conclusions: In the short term, SL resulted in a slight increase in IOP in addition to small changes in ICA and SC parameters, although it did not seem to be clinically relevant in healthy subjects. scleral lenses intraocular pressure iridocorneal angle Schlemm’s canal optic nerve head optical coherence tomography Medicine R Alberto Barros verfasserin aut Javier Lozano-Sanroma verfasserin aut Andrés Fernández-Vega Cueto verfasserin aut Ignacio Rodríguez-Uña verfasserin aut Jesús Merayo-LLoves verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 12(2023), 14, p 4792 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:12 year:2023 number:14, p 4792 https://doi.org/10.3390/jcm12144792 kostenfrei https://doaj.org/article/a058d86c703e49deb75a3d4a2f61c6c5 kostenfrei https://www.mdpi.com/2077-0383/12/14/4792 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2023 14, p 4792 |
spelling |
10.3390/jcm12144792 doi (DE-627)DOAJ093883080 (DE-599)DOAJa058d86c703e49deb75a3d4a2f61c6c5 DE-627 ger DE-627 rakwb eng Juan Queiruga-Piñeiro verfasserin aut Assessment by Optical Coherence Tomography of Short-Term Changes in IOP-Related Structures Caused by Wearing Scleral Lenses 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: The mechanism that could increase intraocular pressure (IOP) during scleral lens (SL) wear is not fully understood, although it may be related to compression of the landing zone on structures involved in aqueous humor drainage. Methods: Thirty healthy subjects were fitted with two SLs of different sizes (L1 = 15.8 mm, L2 = 16.8 mm) for 2 h in the right eye and left eye as a control. Central corneal thickness (CCT), parameters of iridocorneal angle (ICA), Schlemm’s canal (SC), and optic nerve head were measured before and after wearing both SLs. IOP was measured with a Perkins applanation tonometer before and after lens removal and with a transpalpebral tonometer before, during (0 h, 1 h, and 2 h), and after lens wear. Results: CCT increased after wearing L1 (8.10 ± 4.21 µm; <i<p</i< < 0.01) and L2 (9.17 ± 4.41 µm; <i<p</i< < 0.01). After L1 removal, the ICA parameters decreased significantly (<i<p</i< < 0.05). With L2 removal, nasal and temporal SC area and length were reduced (<i<p</i< < 0.05). An increased IOP with transpalpebral tonometry was observed at 2 h of wearing L1 (2.55 ± 2.04 mmHg; <i<p</i< < 0.01) and L2 (2.53 ± 2.22 mmHg; <i<p</i< < 0.01), as well as an increased IOP with Perkins applanation tonometry after wearing L1 (0.43 ± 1.07 mmHg; <i<p</i< = 0.02). Conclusions: In the short term, SL resulted in a slight increase in IOP in addition to small changes in ICA and SC parameters, although it did not seem to be clinically relevant in healthy subjects. scleral lenses intraocular pressure iridocorneal angle Schlemm’s canal optic nerve head optical coherence tomography Medicine R Alberto Barros verfasserin aut Javier Lozano-Sanroma verfasserin aut Andrés Fernández-Vega Cueto verfasserin aut Ignacio Rodríguez-Uña verfasserin aut Jesús Merayo-LLoves verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 12(2023), 14, p 4792 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:12 year:2023 number:14, p 4792 https://doi.org/10.3390/jcm12144792 kostenfrei https://doaj.org/article/a058d86c703e49deb75a3d4a2f61c6c5 kostenfrei https://www.mdpi.com/2077-0383/12/14/4792 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2023 14, p 4792 |
allfields_unstemmed |
10.3390/jcm12144792 doi (DE-627)DOAJ093883080 (DE-599)DOAJa058d86c703e49deb75a3d4a2f61c6c5 DE-627 ger DE-627 rakwb eng Juan Queiruga-Piñeiro verfasserin aut Assessment by Optical Coherence Tomography of Short-Term Changes in IOP-Related Structures Caused by Wearing Scleral Lenses 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: The mechanism that could increase intraocular pressure (IOP) during scleral lens (SL) wear is not fully understood, although it may be related to compression of the landing zone on structures involved in aqueous humor drainage. Methods: Thirty healthy subjects were fitted with two SLs of different sizes (L1 = 15.8 mm, L2 = 16.8 mm) for 2 h in the right eye and left eye as a control. Central corneal thickness (CCT), parameters of iridocorneal angle (ICA), Schlemm’s canal (SC), and optic nerve head were measured before and after wearing both SLs. IOP was measured with a Perkins applanation tonometer before and after lens removal and with a transpalpebral tonometer before, during (0 h, 1 h, and 2 h), and after lens wear. Results: CCT increased after wearing L1 (8.10 ± 4.21 µm; <i<p</i< < 0.01) and L2 (9.17 ± 4.41 µm; <i<p</i< < 0.01). After L1 removal, the ICA parameters decreased significantly (<i<p</i< < 0.05). With L2 removal, nasal and temporal SC area and length were reduced (<i<p</i< < 0.05). An increased IOP with transpalpebral tonometry was observed at 2 h of wearing L1 (2.55 ± 2.04 mmHg; <i<p</i< < 0.01) and L2 (2.53 ± 2.22 mmHg; <i<p</i< < 0.01), as well as an increased IOP with Perkins applanation tonometry after wearing L1 (0.43 ± 1.07 mmHg; <i<p</i< = 0.02). Conclusions: In the short term, SL resulted in a slight increase in IOP in addition to small changes in ICA and SC parameters, although it did not seem to be clinically relevant in healthy subjects. scleral lenses intraocular pressure iridocorneal angle Schlemm’s canal optic nerve head optical coherence tomography Medicine R Alberto Barros verfasserin aut Javier Lozano-Sanroma verfasserin aut Andrés Fernández-Vega Cueto verfasserin aut Ignacio Rodríguez-Uña verfasserin aut Jesús Merayo-LLoves verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 12(2023), 14, p 4792 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:12 year:2023 number:14, p 4792 https://doi.org/10.3390/jcm12144792 kostenfrei https://doaj.org/article/a058d86c703e49deb75a3d4a2f61c6c5 kostenfrei https://www.mdpi.com/2077-0383/12/14/4792 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2023 14, p 4792 |
allfieldsGer |
10.3390/jcm12144792 doi (DE-627)DOAJ093883080 (DE-599)DOAJa058d86c703e49deb75a3d4a2f61c6c5 DE-627 ger DE-627 rakwb eng Juan Queiruga-Piñeiro verfasserin aut Assessment by Optical Coherence Tomography of Short-Term Changes in IOP-Related Structures Caused by Wearing Scleral Lenses 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: The mechanism that could increase intraocular pressure (IOP) during scleral lens (SL) wear is not fully understood, although it may be related to compression of the landing zone on structures involved in aqueous humor drainage. Methods: Thirty healthy subjects were fitted with two SLs of different sizes (L1 = 15.8 mm, L2 = 16.8 mm) for 2 h in the right eye and left eye as a control. Central corneal thickness (CCT), parameters of iridocorneal angle (ICA), Schlemm’s canal (SC), and optic nerve head were measured before and after wearing both SLs. IOP was measured with a Perkins applanation tonometer before and after lens removal and with a transpalpebral tonometer before, during (0 h, 1 h, and 2 h), and after lens wear. Results: CCT increased after wearing L1 (8.10 ± 4.21 µm; <i<p</i< < 0.01) and L2 (9.17 ± 4.41 µm; <i<p</i< < 0.01). After L1 removal, the ICA parameters decreased significantly (<i<p</i< < 0.05). With L2 removal, nasal and temporal SC area and length were reduced (<i<p</i< < 0.05). An increased IOP with transpalpebral tonometry was observed at 2 h of wearing L1 (2.55 ± 2.04 mmHg; <i<p</i< < 0.01) and L2 (2.53 ± 2.22 mmHg; <i<p</i< < 0.01), as well as an increased IOP with Perkins applanation tonometry after wearing L1 (0.43 ± 1.07 mmHg; <i<p</i< = 0.02). Conclusions: In the short term, SL resulted in a slight increase in IOP in addition to small changes in ICA and SC parameters, although it did not seem to be clinically relevant in healthy subjects. scleral lenses intraocular pressure iridocorneal angle Schlemm’s canal optic nerve head optical coherence tomography Medicine R Alberto Barros verfasserin aut Javier Lozano-Sanroma verfasserin aut Andrés Fernández-Vega Cueto verfasserin aut Ignacio Rodríguez-Uña verfasserin aut Jesús Merayo-LLoves verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 12(2023), 14, p 4792 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:12 year:2023 number:14, p 4792 https://doi.org/10.3390/jcm12144792 kostenfrei https://doaj.org/article/a058d86c703e49deb75a3d4a2f61c6c5 kostenfrei https://www.mdpi.com/2077-0383/12/14/4792 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2023 14, p 4792 |
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10.3390/jcm12144792 doi (DE-627)DOAJ093883080 (DE-599)DOAJa058d86c703e49deb75a3d4a2f61c6c5 DE-627 ger DE-627 rakwb eng Juan Queiruga-Piñeiro verfasserin aut Assessment by Optical Coherence Tomography of Short-Term Changes in IOP-Related Structures Caused by Wearing Scleral Lenses 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: The mechanism that could increase intraocular pressure (IOP) during scleral lens (SL) wear is not fully understood, although it may be related to compression of the landing zone on structures involved in aqueous humor drainage. Methods: Thirty healthy subjects were fitted with two SLs of different sizes (L1 = 15.8 mm, L2 = 16.8 mm) for 2 h in the right eye and left eye as a control. Central corneal thickness (CCT), parameters of iridocorneal angle (ICA), Schlemm’s canal (SC), and optic nerve head were measured before and after wearing both SLs. IOP was measured with a Perkins applanation tonometer before and after lens removal and with a transpalpebral tonometer before, during (0 h, 1 h, and 2 h), and after lens wear. Results: CCT increased after wearing L1 (8.10 ± 4.21 µm; <i<p</i< < 0.01) and L2 (9.17 ± 4.41 µm; <i<p</i< < 0.01). After L1 removal, the ICA parameters decreased significantly (<i<p</i< < 0.05). With L2 removal, nasal and temporal SC area and length were reduced (<i<p</i< < 0.05). An increased IOP with transpalpebral tonometry was observed at 2 h of wearing L1 (2.55 ± 2.04 mmHg; <i<p</i< < 0.01) and L2 (2.53 ± 2.22 mmHg; <i<p</i< < 0.01), as well as an increased IOP with Perkins applanation tonometry after wearing L1 (0.43 ± 1.07 mmHg; <i<p</i< = 0.02). Conclusions: In the short term, SL resulted in a slight increase in IOP in addition to small changes in ICA and SC parameters, although it did not seem to be clinically relevant in healthy subjects. scleral lenses intraocular pressure iridocorneal angle Schlemm’s canal optic nerve head optical coherence tomography Medicine R Alberto Barros verfasserin aut Javier Lozano-Sanroma verfasserin aut Andrés Fernández-Vega Cueto verfasserin aut Ignacio Rodríguez-Uña verfasserin aut Jesús Merayo-LLoves verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 12(2023), 14, p 4792 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:12 year:2023 number:14, p 4792 https://doi.org/10.3390/jcm12144792 kostenfrei https://doaj.org/article/a058d86c703e49deb75a3d4a2f61c6c5 kostenfrei https://www.mdpi.com/2077-0383/12/14/4792 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2023 14, p 4792 |
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Assessment by Optical Coherence Tomography of Short-Term Changes in IOP-Related Structures Caused by Wearing Scleral Lenses |
abstract |
Background: The mechanism that could increase intraocular pressure (IOP) during scleral lens (SL) wear is not fully understood, although it may be related to compression of the landing zone on structures involved in aqueous humor drainage. Methods: Thirty healthy subjects were fitted with two SLs of different sizes (L1 = 15.8 mm, L2 = 16.8 mm) for 2 h in the right eye and left eye as a control. Central corneal thickness (CCT), parameters of iridocorneal angle (ICA), Schlemm’s canal (SC), and optic nerve head were measured before and after wearing both SLs. IOP was measured with a Perkins applanation tonometer before and after lens removal and with a transpalpebral tonometer before, during (0 h, 1 h, and 2 h), and after lens wear. Results: CCT increased after wearing L1 (8.10 ± 4.21 µm; <i<p</i< < 0.01) and L2 (9.17 ± 4.41 µm; <i<p</i< < 0.01). After L1 removal, the ICA parameters decreased significantly (<i<p</i< < 0.05). With L2 removal, nasal and temporal SC area and length were reduced (<i<p</i< < 0.05). An increased IOP with transpalpebral tonometry was observed at 2 h of wearing L1 (2.55 ± 2.04 mmHg; <i<p</i< < 0.01) and L2 (2.53 ± 2.22 mmHg; <i<p</i< < 0.01), as well as an increased IOP with Perkins applanation tonometry after wearing L1 (0.43 ± 1.07 mmHg; <i<p</i< = 0.02). Conclusions: In the short term, SL resulted in a slight increase in IOP in addition to small changes in ICA and SC parameters, although it did not seem to be clinically relevant in healthy subjects. |
abstractGer |
Background: The mechanism that could increase intraocular pressure (IOP) during scleral lens (SL) wear is not fully understood, although it may be related to compression of the landing zone on structures involved in aqueous humor drainage. Methods: Thirty healthy subjects were fitted with two SLs of different sizes (L1 = 15.8 mm, L2 = 16.8 mm) for 2 h in the right eye and left eye as a control. Central corneal thickness (CCT), parameters of iridocorneal angle (ICA), Schlemm’s canal (SC), and optic nerve head were measured before and after wearing both SLs. IOP was measured with a Perkins applanation tonometer before and after lens removal and with a transpalpebral tonometer before, during (0 h, 1 h, and 2 h), and after lens wear. Results: CCT increased after wearing L1 (8.10 ± 4.21 µm; <i<p</i< < 0.01) and L2 (9.17 ± 4.41 µm; <i<p</i< < 0.01). After L1 removal, the ICA parameters decreased significantly (<i<p</i< < 0.05). With L2 removal, nasal and temporal SC area and length were reduced (<i<p</i< < 0.05). An increased IOP with transpalpebral tonometry was observed at 2 h of wearing L1 (2.55 ± 2.04 mmHg; <i<p</i< < 0.01) and L2 (2.53 ± 2.22 mmHg; <i<p</i< < 0.01), as well as an increased IOP with Perkins applanation tonometry after wearing L1 (0.43 ± 1.07 mmHg; <i<p</i< = 0.02). Conclusions: In the short term, SL resulted in a slight increase in IOP in addition to small changes in ICA and SC parameters, although it did not seem to be clinically relevant in healthy subjects. |
abstract_unstemmed |
Background: The mechanism that could increase intraocular pressure (IOP) during scleral lens (SL) wear is not fully understood, although it may be related to compression of the landing zone on structures involved in aqueous humor drainage. Methods: Thirty healthy subjects were fitted with two SLs of different sizes (L1 = 15.8 mm, L2 = 16.8 mm) for 2 h in the right eye and left eye as a control. Central corneal thickness (CCT), parameters of iridocorneal angle (ICA), Schlemm’s canal (SC), and optic nerve head were measured before and after wearing both SLs. IOP was measured with a Perkins applanation tonometer before and after lens removal and with a transpalpebral tonometer before, during (0 h, 1 h, and 2 h), and after lens wear. Results: CCT increased after wearing L1 (8.10 ± 4.21 µm; <i<p</i< < 0.01) and L2 (9.17 ± 4.41 µm; <i<p</i< < 0.01). After L1 removal, the ICA parameters decreased significantly (<i<p</i< < 0.05). With L2 removal, nasal and temporal SC area and length were reduced (<i<p</i< < 0.05). An increased IOP with transpalpebral tonometry was observed at 2 h of wearing L1 (2.55 ± 2.04 mmHg; <i<p</i< < 0.01) and L2 (2.53 ± 2.22 mmHg; <i<p</i< < 0.01), as well as an increased IOP with Perkins applanation tonometry after wearing L1 (0.43 ± 1.07 mmHg; <i<p</i< = 0.02). Conclusions: In the short term, SL resulted in a slight increase in IOP in addition to small changes in ICA and SC parameters, although it did not seem to be clinically relevant in healthy subjects. |
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title_short |
Assessment by Optical Coherence Tomography of Short-Term Changes in IOP-Related Structures Caused by Wearing Scleral Lenses |
url |
https://doi.org/10.3390/jcm12144792 https://doaj.org/article/a058d86c703e49deb75a3d4a2f61c6c5 https://www.mdpi.com/2077-0383/12/14/4792 https://doaj.org/toc/2077-0383 |
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Alberto Barros Javier Lozano-Sanroma Andrés Fernández-Vega Cueto Ignacio Rodríguez-Uña Jesús Merayo-LLoves |
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Alberto Barros Javier Lozano-Sanroma Andrés Fernández-Vega Cueto Ignacio Rodríguez-Uña Jesús Merayo-LLoves |
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up_date |
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