VK Case Study.pdf - UltraVision Group

®VK Clinical Notes Cont’dA KeraSoft ® 3 lens 8.40/14.50/-10.00 was supplied for the LE with a resultant acuity of 6/15. Photophobiawas immediately reduced and VK felt much more comfortable and balanced with the LE corrected. Thisspherical lens was supplied to act as a powered bandage lens as the cornea settled down.14th August 2008 - RE INTACS procedure28th August 2008Now 2 weeks since INTACs surgery in RE. Both eyes were now very sensitive with significant photophobiawhich VK reported was much worse when she removed the left KeraSoft ® lens. RE acuity post operativelyhad initially been good but had deteriorated over the two weeks following surgery.TopographyRLSlit LampRE showed mild, central punctate staining and a fast tear break up time of 2-3 seconds. LE was clear andshowed no staining with Fluorescein.Spectacle RefractionRE: +4.00/-8.00 x 70 VA 6/12 LE: -12.00/-6.00 x 110 VA 6/24 +2Lens FittingVK reported her vision fluctuated markedly several times a day. After discussions with her and her surgeon,it was agreed to supply lenses with spherical power only at this juncture whilst the corneal shape was stillfluctuating markedly.Lenses supplied were KeraSoft ® 3 SiHRE: 8.40/14.50/-4.00 VA 6/15 LE: 8.40/14.50/-10.00 VA 6/15 Binoc 6/12October 2008 – CXL was performed on the LE at the beginning of the month and on the RE 2 weeks later.Following the CXL procedures, VK discontinued lens wear until the surgeon felt the corneas had settledsufficiently. During this period, she developed vascularisation around the upper edges of the INTACs in theLE, a known complication with the CXL procedure.November 2008After 4 weeks, the surgeon authorised returning to KeraSoft ® wear with continued monitoring, particularly inrespect to the post CXL vascularisation.UltraVision International Ltd, Commerce Way, Leighton Buzzard, Beds, LU7 4RWUK Freephone 0800 585115 or +44 (0)1525 381112email: info@ultravision.co.uk web: www.ultravisiongroup.com