Abstract：
OBJECTIVE: To evaluate the visual outcome of mini-scleral contact lenses (MSLs) in keratoconus following the resolution of acute hydrops.
METHODS: This was a prospective observational case series of patients of healed hydrops in keratoconus fitted with an MSL (Keracare, Acculens, Lakewood, CO) who were managed for acute hydrops medically or surgically at least 3 months prior. Uncorrected visual acuity, best spectacles-corrected visual acuity, best lens-corrected visual acuity, topographic indices, keratometric indices, contact lens parameters, and ocular aberrometric changes were evaluated. All patients were followed up for at least 3 months.
RESULTS: Eighteen eyes of 17 patients were included in the analysis. The mean post-hydrops topographic values of the eyes included flat keratometric value (K1) 64.93±10.88 (range 44.30-93.40) diopters (D), steep keratometric value (K2) 70.41±10.92 D (range 45.8-98.6 D), and Kmax of 79.53±17.73 D (range 50-130.2). The final mini-scleral lens\'s mean dioptric power was -8.56±3.96 D (range -18 to -4). Visual acuity significantly improved from post-hydrops resolution uncorrected visual acuity of 1.5±0.71 logMAR to 0.79±0.18 logMAR best spectacles-corrected visual acuity to 0.27±0.01 logMAR best lens-corrected visual acuity ( P -value <0.0001). Similarly, there was considerable improvement in corneal aberrometric values after wearing an MSL. At the 3-month follow-up, 15 patients (16 eyes) were compliant to contact lens use with a minimum of 6 to 8 hr daily while two patients (2 eyes) were poorly compliant.
CONCLUSIONS: A MSL is a valuable option for visual rehabilitation in keratoconus following the resolution of acute hydrops.
METHODS: This was a prospective observational case series of patients of healed hydrops in keratoconus fitted with an MSL (Keracare, Acculens, Lakewood, CO) who were managed for acute hydrops medically or surgically at least 3 months prior. Uncorrected visual acuity, best spectacles-corrected visual acuity, best lens-corrected visual acuity, topographic indices, keratometric indices, contact lens parameters, and ocular aberrometric changes were evaluated. All patients were followed up for at least 3 months.
RESULTS: Eighteen eyes of 17 patients were included in the analysis. The mean post-hydrops topographic values of the eyes included flat keratometric value (K1) 64.93±10.88 (range 44.30-93.40) diopters (D), steep keratometric value (K2) 70.41±10.92 D (range 45.8-98.6 D), and Kmax of 79.53±17.73 D (range 50-130.2). The final mini-scleral lens\'s mean dioptric power was -8.56±3.96 D (range -18 to -4). Visual acuity significantly improved from post-hydrops resolution uncorrected visual acuity of 1.5±0.71 logMAR to 0.79±0.18 logMAR best spectacles-corrected visual acuity to 0.27±0.01 logMAR best lens-corrected visual acuity ( P -value <0.0001). Similarly, there was considerable improvement in corneal aberrometric values after wearing an MSL. At the 3-month follow-up, 15 patients (16 eyes) were compliant to contact lens use with a minimum of 6 to 8 hr daily while two patients (2 eyes) were poorly compliant.
CONCLUSIONS: A MSL is a valuable option for visual rehabilitation in keratoconus following the resolution of acute hydrops.
摘要：
目的：评价微型巩膜隐形眼镜（MSLs）在急性水肿消退后对圆锥角膜的视力影响。
方法：这是一个前瞻性观察性病例系列，其患者患有患有MSL（Keracare，Acculens,莱克伍德,CO）至少在3个月前接受过医学或手术治疗的急性积液。未矫正视力，最佳眼镜矫正视力，最佳镜片矫正视力，地形指数，角化指数,隐形眼镜参数,并评估了眼像差的变化。所有患者均随访至少3个月。
结果：17例患者的18只眼纳入分析。眼睛的平均积水后形貌值包括平坦的角膜曲率值（K1）64.93±10.88（范围44.30-93.40）屈光度（D），陡峭的角膜曲率值（K2）70.41±10.92D（范围45.8-98.6D），Kmax为79.53±17.73D(范围50-130.2)。最终微型巩膜晶状体的平均屈光度为-8.56±3.96D（范围-18至-4）。视力从积液后分辨率未矫正视力1.5±0.71logMAR到0.79±0.18logMAR最佳眼镜矫正视力到0.27±0.01logMAR最佳镜片矫正视力显着提高(P值<0.0001)。同样，佩戴MSL后，角膜像差测量值有相当大的改善。在3个月的随访中，15名患者(16只眼)遵从接触镜使用,每天最少6至8小时,而两名患者(2只眼)依从性差。
结论：在急性水肿消退后，MSL是圆锥角膜视觉康复的一个有价值的选择。
方法：这是一个前瞻性观察性病例系列，其患者患有患有MSL（Keracare，Acculens,莱克伍德,CO）至少在3个月前接受过医学或手术治疗的急性积液。未矫正视力，最佳眼镜矫正视力，最佳镜片矫正视力，地形指数，角化指数,隐形眼镜参数,并评估了眼像差的变化。所有患者均随访至少3个月。
结果：17例患者的18只眼纳入分析。眼睛的平均积水后形貌值包括平坦的角膜曲率值（K1）64.93±10.88（范围44.30-93.40）屈光度（D），陡峭的角膜曲率值（K2）70.41±10.92D（范围45.8-98.6D），Kmax为79.53±17.73D(范围50-130.2)。最终微型巩膜晶状体的平均屈光度为-8.56±3.96D（范围-18至-4）。视力从积液后分辨率未矫正视力1.5±0.71logMAR到0.79±0.18logMAR最佳眼镜矫正视力到0.27±0.01logMAR最佳镜片矫正视力显着提高(P值<0.0001)。同样，佩戴MSL后，角膜像差测量值有相当大的改善。在3个月的随访中，15名患者(16只眼)遵从接触镜使用,每天最少6至8小时,而两名患者(2只眼)依从性差。
结论：在急性水肿消退后，MSL是圆锥角膜视觉康复的一个有价值的选择。
