Contact Lens Induced Limbal Stem Cell Deficiency: Clinical Features in Korean Patients
Korean Journal of Ophthalmology
; : 500-505, 2019.
Article
in En
| WPRIM
| ID: wpr-786341
Responsible library:
WPRO
ABSTRACT
PURPOSE:
To describe the clinical features of Korean patients with contact lens-induced limbal stem cell deficiency (CL-LSCD).METHODS:
Medical records of 22 patients who were diagnosed with CL-LSCD between 2014 and 2019 were reviewed retrospectively. Outcome measures included demographics, clinical presentation, treatment, clinical course, and pattern of contact lens (CL) wear.RESULTS:
Forty-two eyes of 22 patients were found to have typical changes associated with CL-LSCD. Twenty (91%) patients were women and mean age was 36 ± 12 years. All patients had myopia with mean spherical equivalent of −7.52 ± 3.2 diopter. Twenty (91%) patients had bilateral disease and the location of limbal involvement was diffuse in 20 eyes (47.6%) and partial in 22 eyes (52.4%, superior in 20 eyes and inferior in 2 eyes). Fourteen (63.6%) patients complained of decreased visual acuity. Average period of CL wear was 14 ± 9 years. Four patients used cosmetic colored CLs and four patients had a history of overnight CL wear. All 12 patients who completed follow-up (28 ± 42 weeks) showed improvement in visual acuity and ocular surface condition after cessation of CL wear and medical treatment. Of them, five (42%) patients showed full recovery while seven (58%) showed partial recovery.CONCLUSIONS:
If a patient with a history of CL wear for an extended period of time presents with decreased visual acuity, practitioners should perform detailed examinations with suspicion of CL-LSCD, including fluorescein staining. CL-LSCD is usually reversible and close follow-up with conservative treatment is recommended as the initial treatment option.Key words
Full text:
1
Index:
WPRIM
Main subject:
Stem Cells
/
Visual Acuity
/
Demography
/
Medical Records
/
Retrospective Studies
/
Follow-Up Studies
/
Outcome Assessment, Health Care
/
Contact Lenses, Hydrophilic
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Fluorescein
/
Myopia
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Female
/
Humans
Language:
En
Journal:
Korean Journal of Ophthalmology
Year:
2019
Type:
Article