Post-PKP OSPatient: 67 year old Hispanic female

History and Chief complaint The patient presented complaining of blurred vision at distance and near in both eyes that had been constant since 2011. She had cataract surgery OU in 1985 and underwent a penetrating keratoplasty OS in 2011. The patient had never worn contact lenses. She noticed significant image distortion with spectacles alone.

Corneal topography

OD: OS:

Visual acuities: Distance Near (Uncorrected OU) OD: 20/30- 20/30 OS: 20/150 20/50

Subjective refraction: VA Distance VA Near

OD: -0.50-1.50x070, add +2.50 20/25 20/25OS: -3.25DS, add +2.50 20/70 20/50

Keratometry: Sim K’s

OD: 42.81/40.61 x 075 OS: 45.73/42.60 x 152

Corneal diameter: 11.8mm OD, 11.6mm OS

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Anterior Segment OCT:

OD: OS:

Action

Secondary to the patient’s ocular history, chief complaints, and examination findings, she was fit with RevitalEyes® Post-surgical reverse geometry contact lenses on both eyes to help minimize her image distortion. This lens is made out of Contamac’s Definitive™ Silicone Hydrogel material, Dk 60.

Final CL fit OD: Final CL fit OS:

Outcome:

The patient has achieved five lines of improvement in her visual acuity with the RevitalEyes® Lens OS. She is currently using Clear Care solution and is able to wear the lenses comfortably all day long. The patient notices a significant improvement in her image distortion.

Lens Specifications: BC Power OAD VA

OD: 9.0 -0.25-1.75x070 14.5 20/20- OS: 8.7 -3.25-2.00x120 14.5 20/25

Metro OpticsP.O. Box 81189Austin, Texas 78708Phone: 512- 251-2382Fax: 512-251-6554www.metro-optics.com

Optometrist

Jennifer S. Harthan OD, FAAOAssistant ProfessorChief, Urgent Eye Care ServiceIllinois College of Optometry/Illinois Eye Institute

Contamac US806 Kimball AveGrand Junction, CO 81501Phone 970.242.3669Fax 970.243.5501www.contamac.com

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