Effects of lotrafilcon A and omafilcon A bandage contact lenses on visual outcomes after photorefractive keratectomy

Jayson D. Edwards, Kraig S. Bower, Denise A. Sediq, Jenna M. Burka, Richard Stutzman, Cameron R. VanRoekel, Chrystyna P. Kuzmowych, Jennifer B. Eaddy

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Purpose: To evaluate postoperative healing between bandage contact lenses with high and low oxygen permeability in patients having photorefractive keratectomy (PRK). Setting: Center for Refractive Surgery, Walter Reed Army Medical Center, Washington, DC, USA. Methods: This retrospective study compared patients receiving a high-oxygen-transmission bandage contact lens (Focus Night & Day [N&D], Ciba Vision; n = 92) and those receiving a low-oxygen-transmission lens (Proclear, Cooper Vision; n = 114) after PRK. Visual outcomes, safety, and efficacy were assessed postoperatively at 1, 4, and 7 days and 1, 3, 6, and 12 months. Results: Overall pain scores were higher in the Proclear group at 1 day (P = .000) and 4 days (P = .027). The N&D group had an increase in corneal infiltrates at 4 days (P = .025) and 1 week (P = .017). At 1 month, 40.4% of patients in the Proclear group and 18.6% in the N&D group had a 1 or more line decrease in best spectacle-corrected visual acuity (BSCVA) (P = .002). Although there was a trend toward a higher haze rate in the Proclear group, it was not statistically significant (P = .064). There was no statistically significant difference in uncorrected visual acuity, goal of emmetropia, contrast sensitivity, or reepithelialization. Conclusions: The N&D lens produced less pain and better postoperative results in terms of haze and BSCVA at 1 month. However, it led to a higher incidence of corneal infiltrates. There was no difference between the lenses in the end result at 12 months.

Original languageEnglish (US)
Pages (from-to)1288-1294
Number of pages7
JournalJournal of Cataract and Refractive Surgery
Volume34
Issue number8
DOIs
StatePublished - Aug 1 2008
Externally publishedYes

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Photorefractive Keratectomy
Contact Lenses
Bandages
Lenses
Visual Acuity
Oxygen
Emmetropia
Refractive Surgical Procedures
Contrast Sensitivity
Postoperative Pain
Permeability
Retrospective Studies
Safety
Pain
Incidence
lotrafilcon A

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Effects of lotrafilcon A and omafilcon A bandage contact lenses on visual outcomes after photorefractive keratectomy. / Edwards, Jayson D.; Bower, Kraig S.; Sediq, Denise A.; Burka, Jenna M.; Stutzman, Richard; VanRoekel, Cameron R.; Kuzmowych, Chrystyna P.; Eaddy, Jennifer B.

In: Journal of Cataract and Refractive Surgery, Vol. 34, No. 8, 01.08.2008, p. 1288-1294.

Research output: Contribution to journalArticle

Edwards, Jayson D. ; Bower, Kraig S. ; Sediq, Denise A. ; Burka, Jenna M. ; Stutzman, Richard ; VanRoekel, Cameron R. ; Kuzmowych, Chrystyna P. ; Eaddy, Jennifer B. / Effects of lotrafilcon A and omafilcon A bandage contact lenses on visual outcomes after photorefractive keratectomy. In: Journal of Cataract and Refractive Surgery. 2008 ; Vol. 34, No. 8. pp. 1288-1294.
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T1 - Effects of lotrafilcon A and omafilcon A bandage contact lenses on visual outcomes after photorefractive keratectomy

AU - Edwards, Jayson D.

AU - Bower, Kraig S.

AU - Sediq, Denise A.

AU - Burka, Jenna M.

AU - Stutzman, Richard

AU - VanRoekel, Cameron R.

AU - Kuzmowych, Chrystyna P.

AU - Eaddy, Jennifer B.

PY - 2008/8/1

Y1 - 2008/8/1

N2 - Purpose: To evaluate postoperative healing between bandage contact lenses with high and low oxygen permeability in patients having photorefractive keratectomy (PRK). Setting: Center for Refractive Surgery, Walter Reed Army Medical Center, Washington, DC, USA. Methods: This retrospective study compared patients receiving a high-oxygen-transmission bandage contact lens (Focus Night & Day [N&D], Ciba Vision; n = 92) and those receiving a low-oxygen-transmission lens (Proclear, Cooper Vision; n = 114) after PRK. Visual outcomes, safety, and efficacy were assessed postoperatively at 1, 4, and 7 days and 1, 3, 6, and 12 months. Results: Overall pain scores were higher in the Proclear group at 1 day (P = .000) and 4 days (P = .027). The N&D group had an increase in corneal infiltrates at 4 days (P = .025) and 1 week (P = .017). At 1 month, 40.4% of patients in the Proclear group and 18.6% in the N&D group had a 1 or more line decrease in best spectacle-corrected visual acuity (BSCVA) (P = .002). Although there was a trend toward a higher haze rate in the Proclear group, it was not statistically significant (P = .064). There was no statistically significant difference in uncorrected visual acuity, goal of emmetropia, contrast sensitivity, or reepithelialization. Conclusions: The N&D lens produced less pain and better postoperative results in terms of haze and BSCVA at 1 month. However, it led to a higher incidence of corneal infiltrates. There was no difference between the lenses in the end result at 12 months.

AB - Purpose: To evaluate postoperative healing between bandage contact lenses with high and low oxygen permeability in patients having photorefractive keratectomy (PRK). Setting: Center for Refractive Surgery, Walter Reed Army Medical Center, Washington, DC, USA. Methods: This retrospective study compared patients receiving a high-oxygen-transmission bandage contact lens (Focus Night & Day [N&D], Ciba Vision; n = 92) and those receiving a low-oxygen-transmission lens (Proclear, Cooper Vision; n = 114) after PRK. Visual outcomes, safety, and efficacy were assessed postoperatively at 1, 4, and 7 days and 1, 3, 6, and 12 months. Results: Overall pain scores were higher in the Proclear group at 1 day (P = .000) and 4 days (P = .027). The N&D group had an increase in corneal infiltrates at 4 days (P = .025) and 1 week (P = .017). At 1 month, 40.4% of patients in the Proclear group and 18.6% in the N&D group had a 1 or more line decrease in best spectacle-corrected visual acuity (BSCVA) (P = .002). Although there was a trend toward a higher haze rate in the Proclear group, it was not statistically significant (P = .064). There was no statistically significant difference in uncorrected visual acuity, goal of emmetropia, contrast sensitivity, or reepithelialization. Conclusions: The N&D lens produced less pain and better postoperative results in terms of haze and BSCVA at 1 month. However, it led to a higher incidence of corneal infiltrates. There was no difference between the lenses in the end result at 12 months.

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