Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Jul 14;84(5):462-466.
doi: 10.5935/0004-2749.20210075. eCollection 2021.

Experience of applying cosmetic Etafilcon A contact lens in cases with microcornea

Ferah Ozcelik  1 , Cigdem Altan  1 , Asli Kirmaci Kabakci  2 , Semih Urvasizoglu  3
Affiliations

Experience of applying cosmetic Etafilcon A contact lens in cases with microcornea

Ferah Ozcelik et al. Arq Bras Oftalmol. .

Abstract
in English, Portuguese

Purpose: Microcornea is a rare condition that frequently resulets in serious cosmetic concerns due to the resultant asymmetrical appearance of the eye, and its cosmetic rehabilitation is possible with the use of colored contact lenses. This paper aims to present our experiences with the use of cosmetic Etafilcon A contact lenses for microcornea.

Methods: Eight patients with unilateral microcornea without any systemic involvement were included in this study, and they underwent routine ophthalmological examination, corneal topography, and optical biometry. We applied the cosmetic Etafilcon A contact lens (1-DAY ACUVUE® DEFINE® with Lacreon®) of the same edge color to the patients. The levels of satisfaction in terms of cosmesis and comfort were evaluated with the use of visual analog scales (VAS).

Results: In the patients, the corneal diameter asymmetry was acceptably adjusted, and each of the patients reported extreme satisfaction. The mean VAS score was 8.9 ± 1.0 (range: 7-10) for the cosmetic satisfaction rate and 8.4 ± 1.0 (range: 7-10) for the comfort rate. The patients obtained the best-corrected visual acuity without or with additional eye-glasses. None of the patients complained about vision issues under photopic and scotopic conditions.

Conclusion: 1-DAY ACUVUE® DEFINE® with Lacreon® lens has promising satisfactory cosmetic outcomes along with visual enhancement in cases of microcornea. This is the first study to report the use of this lens for the cosmetic rehabilitation of patients with microcornea.

Objetivo: A microcórnea é uma afecção rara, que frequentemente causa graves queixas estéticas devido a uma aparência assimétrica, mas passível de reabilitação estética através de lentes de contato coloridas. O objetivo deste estudo é apresentar nossas experiências no uso de lentes de contato cosméticas Etafilcon A em casos de microcórnea.

Métodos: Oito pacientes com microcórnea unilateral, sem acometimento sistêmico, foram incluídos e submetidos a exame oftalmológico de rotina, topografia corneana e biometria óptica. Aplicamos nos pacientes uma lente de contato cosmética Etafilcon A (1-Day Acuvue® Define® com Lacreon®) da mesma cor da borda da córnea dos pacientes. Os níveis de satisfação em termos de estética e conforto foram avaliados por meio de escalas visuais analógicas (EVA).

Resultados: A assimetria do diâmetro da córnea foi corrigida em um grau aceitável e todos os pacientes ficaram muito satisfeitos. A pontuação média da EVA foi de 8,9 ± 1,0 (variação: 7-10) para o grau de satisfação estética e 8,4 ± 1,0 (intervalo: 7-10) para o grau de conforto. Os pacientes obtiveram a melhor acuidade visual corrigida com ou sem óculos adicionais. Não houve queixas visuais em condições fotópicas ou escotópicas.

Conclusão: A lente 1-Day Acuvue® Define® com Lacreon® é promissora em termos de resultados estéticos satisfatórios, bem como de melhoria da visão em casos de microcórnea. Este é o primeiro estudo a relatar o uso dessa lente na reabilitação cosmética de pacientes com microcórnea.

PubMed Disclaimer

Conflict of interest statement

Disclosure of potential conflicts of interest: None of the authors have any potential conflicts of interest to disclose.

Figures

Figure 1
Figure 1
Visual analog scales employed to record the subjective perceptions of the study participants regarding their cosmetic satisfaction and comfort.
Figure 2
Figure 2
A) Patient with left microcornea (Case 1) before any contact lens fitting. B) Image of the same patient after the application of the contact lens.
Figure 3
Figure 3
A) Patient with left microcornea (Case 4), before any contact lens fitting. B) Image of the same patient after the application of the contact lens.
See this image and copyright information in PMC

References

    1. Hazin R, Khan AO. Isolated microcornea: case report and relation to other “small eye” phenotypes. Middle East Afr J Ophthalmol. 2008;15(2):87–89. - PMC - PubMed
    1. Batra DV, Paul SD. Microcornea with myopia. Br J Ophthalmol. 1967 Jan;51(1):57–60. - PMC - PubMed
    1. Batra DV, Paul SD. Unilateral microcornea and enophthalmos with bilateral anterior and posterior anomalies. Br J Ophthalmol. 1967;51(9):627–629. - PMC - PubMed
    1. Online Mendelian Inheritance in Man (OMIM) [cited 2020 Aug 21]. [Interne] Available from: http://www.omim.org/
    1. Mataftsi A, Islam L, Kelberman D, Sowden JC, Nischal KK. Chromosome abnormalities and the genetics of congenital corneal opacification. Mol Vis. 2011;17:1624–1640. - PMC - PubMed