Biometric Risk Factors for Corneal Neovascularization Associated with Hydrogel Soft Contact Lens Wear in Korean Myopic Patients.
10.3341/kjo.2014.28.4.292
- Author:
Dae Seung LEE
1
;
Mee Kum KIM
;
Won Ryang WEE
Author Information
1. Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea. kmk9@snu.ac.kr
- Publication Type:Original Article
- Keywords:
Astigmatism;
Corneal neovascularization;
Hydrogel soft contact lens;
Myopia;
Steep cornea
- MeSH:
Adult;
Astigmatism/diagnosis;
Biometry;
Case-Control Studies;
Contact Lenses, Hydrophilic/*adverse effects;
Corneal Neovascularization/diagnosis/*etiology;
Female;
Humans;
Hydrogel;
Male;
Myopia/diagnosis/*therapy;
Prosthesis Fitting;
Retrospective Studies;
Risk Factors;
Visual Acuity
- From:Korean Journal of Ophthalmology
2014;28(4):292-297
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: To investigate the biometric risk factors for corneal surface complications associated with hydrogel soft contact lens (SCL) fitting in myopic patients in Korea. METHODS: This is a retrospective case-control study. The records of 124 subjects (124 eyes) who wore SCLs on a daily basis were reviewed. Thirty-one patients (31 eyes) who were diagnosed with corneal neovascularization (NV) while wearing SCLs were included in the complication group. Ninety-three age- and sex-matched patients (93 eyes) who wore SCLs, who did not have corneal NV and who visited our clinic for correction of refractive errors were included in the control group. The degree of spherical equivalent, astigmatism and corneal base curve radius (BCR) were compared in both groups. RESULTS: Patients with NV exhibited poorer best corrected visual acuity and more myopia than controls (p = 0.008 and 0.006, respectively). In univariate analysis, highly myopic patients (-9 diopters [D] or higher) were more likely to experience NV (odds ratio [OR], 2.232; 95% confidence interval [CI], 1.602 to 3.105). High astigmatism (> or =2 D) increased the risk of complications (OR, 2.717; 95% CI, 1.141 to 6.451). Steep cornea, in which BCR was <7.5 mm, also raised the risk of complications (OR, 4.000; 95% CI, 1.661 to 9.804). Flat cornea was not a risk factor for the development of NV. CONCLUSIONS: High myopia, high astigmatism, and steep cornea seemed to be risk factors in the development of corneal NV in SCL wearers.
