CL fitting in PMD

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: <

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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.