CL FITTING Pellucid Marginal Degeneration
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CL FITTING CASE • Male, 42
years old.
• Diagnostic • Referred • If
of bilateral PMD.
to evaluate a CL fitting.
CL fit is not possible, he will undertake keratoplasty.
• He
uses neither glasses nor CL.
•
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RE • VA
uc: 0.05
• Sim
K:
• 7.77/5.75
x 23º (Ast. 15.3 D)
• Refraction: • -4.50
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-6.50 100º AV 0.2 dif.
RE
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RE • BMC
examination:
• Inferior
and central area of severe thinning. No Fleischer’s ring
• Inferior
corneal stainning 3-4 grade(CCLRU)
• Moderate • BUT: < martes 27 de marzo de 12
distriquiasis
5 seconds
LE • VA
uc: 0.15
• Sim
K:
• 8.10/5.66
x 152º (Ast. 18 D)
• Refraction: •
OI -3.75 -4.50 80º AV 0.3 Dif
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LE
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LE • BMC
examination:
• Inferior
and central area of severe thinning. No Fleischer’s ring
• Inferior
corneal stainning 4-5 grade(CCLRU)
• Moderate • BUT: <
martes 27 de marzo de 12
distriquiasis
5 seconds
QUESTIONS • Would • If
you fit a CL in this patient?
the answer is “yes”, What kind/s of CL/s would you fit?
• Do
you think that the wear of CL in this case is the best option?
• Please, justify
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the answers.