Acta Scientific Ophthalmology (ASOP)

Review Article Volume 3 Issue 8

Managing Corneal Epithelial Defects Using High Molecular Weight Fluorescein to Prevent Contact Lens Staining and Removal of Bandage Contact Lenses

Muhammad Hamza1*, Crishan Gunasekera2, Samar Nahas3, Z CX Lin4, Hatch Mukherjee4 and Richard Allen4

1Corneal Fellow, Department of Ophthalmology, University Hospital Southampton, UK
2Norfolk and Norwich University Hospital NHS Foundation Trust, Ipswich, UK
3Derriford University Hospital Plymouth Devon England, UK
4East Suffolk North Essex NHS Foundation Trust, Colchester, UK

*Corresponding Author: Muhammad Hamza, Corneal Fellow, Department of Ophthalmology, University Hospital Southampton, UK.

Received: July 06, 2020; Published: July 20, 2020

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Abstract

Method: A small group of patients with epithelial defects requiring bandage contact lenses were identified at Colchester Hospital University Hospital. Both Purevision lenses and Biofinity contact lenses were utilized. The lead researcher took anterior segment photography initially devoid of fluorescein. After Fluorosoft was introduced, the process was repeated where anterior section photograph was acquired after 30 seconds to guarantee Fluorosoft was fitted under the lens. Subsequently, removal of the bandage contact lens followed. Later, pictures of the bandage contact lens were taken to evaluate the staining. A second photography was obtained on the anterior segment photograph in order to compare the epithelial defect visibility with normal fluorescein relative to Fluorosoft.

Conclusion:

  • Main aim for this exercise is find a way of not replacing BCL on each examination without compromising the assessment of corneal epithelial defects hence reducing the chance of infection.
  • The research demonstrates that the fluorosoft (high molecular weight fluorescein) can successfully detect epithelial deficiencies in patients having a series of bandage contact lenses devoid of lens’ staining.

Keywords: Corneal Epithelial Defects; Fluorescein; Contact Lens Staining; Bandage Contact Lenses

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References

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  2. Katzman Lee R and Bennie H Jeng. "Management strategies for persistent epithelial defects of the cornea”. Saudi Journal of Ophthalmology3 (2014): 168-172.
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  8. Kim T., et al. “Donor factors associated with epithelial defects after penetrating keratoplasty”. Cornea 5 (1996): 451-456.
  9. Reed DB., et al. “Corneal epithelial healing after penetrating keratoplasty using topical Healon versus balanced salt solution”. Ophthalmic Surgery 7 (1987): 525-528.
  10. Foulks GN., et al. “Therapeutic contact lenses: the role of high-Dk lenses”. Ophthalmology Clinics of North America 3 (2003): 455-461.
  11. Lim L., et al. “Therapeutic use of Bausch & Lomb PureVision contact lenses”. CLAO Journal 4 (2001): 179-185.
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Citation

Citation: Muhammad Hamza., et al. “Managing Corneal Epithelial Defects Using High Molecular Weight Fluorescein to Prevent Contact Lens Staining and Removal of Bandage Contact Lenses”.Acta Scientific Ophthalmology 3.8 (2020): 20-22.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days
ISI- IF1.042
JCR- IF0.24

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