The use of rigid gas permeable contact lens in managing severe anisometropia caused by monocular aphakia following retinal reattachment surgery and high myopia in a 13 year old girl: a case report

https://doi.org/10.19106/JMedSci005401202209

Tri Rahayu(1*), Kara Citra Kalandra(2)

(1) 1. Department of Ophthalmology, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia 2. JEC Hospitals and Clinics, Jakarta, Indonesia
(2) Dr. Suyoto Pusrehab Hospital, Ministry of Defence, Jakarta, Indonesia
(*) Corresponding Author

Abstract


Anisometropia if not treated accordingly may cause other issues especially in developing pediatric eyes. This case is a 13 year old female presented with chief complaint of headache and double vision upon wearing prescribed spectacles. Patient had history of high myopia on both eye, amblyopia and spontaneous rhegmatogenous retinal detachment on the left eye. Retinal reattachment and lensectomy surgery were conducted to correct the problem. The surgery was performed without intra ocular lens (IOL) implantation, which left her left eye become high hyperope due to aphakia. Patient was treated with RGP CLs. Final best visual acuity with EDTRS chart was 6/48 on both eyes. Patient reported subjective visual improvement, no headache or double vision.


Keywords


Rigid gas permeable contact lens, anisometropia, low vision

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References


1.Fontenot JL, Bona MD, Kaleem MA, McLaughlin WM, Morse AR, Schwartz TL, et al. Vision rehabilitation preferred practice pattern. Ophthalmology 2018; 125(1):228-78.
https://doi.org/10.1016/j.ophtha.2017.09.030
2.Bourne RR, Flaxman SR, Braithwaite T, Cicinelli MV, Das A, Jonas JB, et al. Magnitude, temporal trends, and projections of the global prevalence of blindness and distance and near vision impairment: a systematic review and meta-analysis. Lancet Glob Health 2017; 5(9):888-97.
https://doi.org/10.1016/S2214-109X(17)30293-0
3.Alswailmi FK. Global prevalence and causes of visual impairment with special reference to the general population of Saudi Arabia. Pak J Med Sci 2018; 34(3):751-6.
https://doi.org/10.12669/pjms.343.14510
4.Vervloed MPJ, van den Broek ECG, van Eijden AJPM. Critical review of setback in development in young children with congenital blindness or visual impairment. Int J Dis Develop Educ 2020; 67(3):336-55.
https://doi.org/10.1080/1034912X.2019.1588231
5.Wallace DK, Morse CL, Melia M, Sprunger DT, Repka MX, Lee KA, et al. Pediatric eye evaluations preferred practice pattern®: I. vision screening in the primary care and community setting; ii. comprehensive ophthalmic examination. Ophthalmology 2018; 125(1):184-227.
https://doi.org/10.1016/j.ophtha.2017.09.032
6.Hu YY, Wu JF, Lu TL, Wu H, Sun W, Guo DD, et al. Prevalence and associations of anisometropia in children. Invest Opthalmol Vis Sci 2016; 57(3):979-88.
https://doi.org/10.1167/iovs.15-18647
7.Abbasi KZ, Farooq Q, Tufail R, Raza A. Anisometropia in School Going Children. J Rawalpindi Med Coll 2016; 20(3):212-5.
8.Afsari S, Rose KA, Gole GA, Phili K, Leone JF, French A, et al. Prevalence of anisometropia and its association with refractive error and amblyopia in preschool children. Br J Ophthalmol 2013; 97(9):1095-9.
https://doi.org/10.1136/bjophthalmol-2012-302637
9.Barret BT, Bradley A, Candy TR. The relationship between anisometropia and amblyopia. Prog Retin Eye Res 2013; 120-58.
https://doi.org/10.1016/j.preteyeres.2013.05.001
10.South J, Gao T, Collins A, Turuwhenua J, Robertson K, Black J. Aniseikonia and anisometropia: implications for suppression and amblyopia. Clin Exp Optom 2019; 102(6):556-65.
https://doi.org/10.1111/cxo.12881
11.Tang YH, Zhao Y. Clinical study on rigid gas permeable lenses decreasing the children's anisometropia caused by hyperopia. Int Eye Sci 2016; 16:P316-8.
12.Baradaran-Rafii A, Shirzadeh E, Eslani M, Akbari M. Optical correction of aphakia in children. J Ophthalmic Vis Res 2014; 9(1):71-82.
13.Lambert SR, Kraker RT, Pineles, SL, Hutchinson AK, Wilson LB, Galvin JA, et al. Contact lens correction of aphakia in children: a report by the American Academy of Ophthalmology. Ophthalmology 2018; 125(9):1452-8.
https://doi.org/10.1016/j.ophtha.2018.03.014
14.Xiao O, Morgan IG, Ellwein LB, He M. Prevalence of amblyopia in school-aged children and variations by age, gender, and ethnicity in a Multi-Country Refractive Error Study. Ophthalmology 2015; 122(9):1924-31.
https://doi.org/10.1016/j.ophtha.2015.05.034
15.American Academy of Ophthalmology Vision Rehabilitation Committee. Preferred Practice Pattern Guidelines. Vision Rehabilitation. San Francisco, CA: American Academy of Ophthalmology; 2013.
https://www.aaojournal.org/article/S0161-6420(17)32957-3/pdf
16.Shah P, Schwartz SG, Gartner S, Scott IU, Flynn HW Jr. Low vision services: a practical guide for the clinician. Ther Adv Ophthalmol 2018. 10:2515841418776264.
https://doi.org/10.1177/2515841418776264
17.Bennett ES, Kojima K. Gas-permeable lens design, fitting and evaluation. In: Bennett ES, ed. Clinical manual of contact lenses. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2014. p. 112-156.
18.Saltarelli DP. Hyper oxygen-permeable rigid contact lenses as an alternative for the treatment of pediatric aphakia. Eye Contact Lens 2008; 34(2):84-93.
https://doi.org/10.1097/ICL.0b013e31811eadaa
19.Loudot C, Jourdan F, Benso C, Denis D. Aphakia correction with rigid contact lenses in congenital cataract. J Fr Ophtalmol 2012; 35(8):599-605.
https://doi.org/10.1016/j.jfo.2012.04.003



DOI: https://doi.org/10.19106/JMedSci005401202209

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