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Filtering Bleb Infection as a Complication of Orthokeratology

Filtering Bleb Infection as a Complication of Orthokeratology Abstract Orthokeratology is the practice of fitting progressively flatter, tightfitting, rigid contact lenses to flatten the cornea sufficiently to reduce myopia. Although some eye care practitioners attest to its effectiveness and safety, it is associated with refractive changes that are small, variable, and temporary. Hence, it may only have limited clinical value.1,2 We report a case of a filtering bleb infection in a patient shortly after an orthokeratology program was initiated to treat myopia. Report of a Case. A 21-year-old man with juvenile glaucoma was examined because of a 5-day history of right eye pain and redness. Four years earlier, a right trabeculectomy with adjunctive mitomycin therapy had been performed in combination with phacoemulsification and insertion of an intraocular lens implant. Visual acuity was 20/30 OD, and intraocular pressure had been well controlled at his most recent visit, 16 months earlier.At the initial examination, he indicated that he had References 1. Tredici TJ. Symposium: clinical management of physiologic myopia: role of orthokeratology: a perspective . Ophthalmology . 1979;86:698-705.Crossref 2. Polse KA, Brand RJ, Vastine DW, Schalbe JS. Corneal change accompanying orthokeratology . Arch Ophthalmol . 1983;101:1873-1878.Crossref 3. Brown RH, Yang LH, Walker SD, Lynch MG, Martinez LA, Wilson LA. Treatment of bleb infection after glaucoma surgery . Arch Ophthalmol . 1994;112:57-61.Crossref 4. Greenfield DS, Suner IJ, Miller MP, Kangas TA, Palmberg PF, Flynn HW. Endophthalmitis and filtering surgery with mitomycin . Arch Ophthalmol . 1996;114:943-949.Crossref 5. Bellows AR, McCulley JP. Endophthalmitis in aphakic patients with unplanned filtering blebs wearing contact lenses . Ophthalmology . 1981;88:839-843.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Filtering Bleb Infection as a Complication of Orthokeratology

Archives of Ophthalmology , Volume 115 (8) – Aug 1, 1997

Filtering Bleb Infection as a Complication of Orthokeratology

Abstract

Abstract Orthokeratology is the practice of fitting progressively flatter, tightfitting, rigid contact lenses to flatten the cornea sufficiently to reduce myopia. Although some eye care practitioners attest to its effectiveness and safety, it is associated with refractive changes that are small, variable, and temporary. Hence, it may only have limited clinical value.1,2 We report a case of a filtering bleb infection in a patient shortly after an orthokeratology program was initiated to treat...
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Publisher
American Medical Association
Copyright
Copyright © 1997 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1997.01100160246019
Publisher site
See Article on Publisher Site

Abstract

Abstract Orthokeratology is the practice of fitting progressively flatter, tightfitting, rigid contact lenses to flatten the cornea sufficiently to reduce myopia. Although some eye care practitioners attest to its effectiveness and safety, it is associated with refractive changes that are small, variable, and temporary. Hence, it may only have limited clinical value.1,2 We report a case of a filtering bleb infection in a patient shortly after an orthokeratology program was initiated to treat myopia. Report of a Case. A 21-year-old man with juvenile glaucoma was examined because of a 5-day history of right eye pain and redness. Four years earlier, a right trabeculectomy with adjunctive mitomycin therapy had been performed in combination with phacoemulsification and insertion of an intraocular lens implant. Visual acuity was 20/30 OD, and intraocular pressure had been well controlled at his most recent visit, 16 months earlier.At the initial examination, he indicated that he had References 1. Tredici TJ. Symposium: clinical management of physiologic myopia: role of orthokeratology: a perspective . Ophthalmology . 1979;86:698-705.Crossref 2. Polse KA, Brand RJ, Vastine DW, Schalbe JS. Corneal change accompanying orthokeratology . Arch Ophthalmol . 1983;101:1873-1878.Crossref 3. Brown RH, Yang LH, Walker SD, Lynch MG, Martinez LA, Wilson LA. Treatment of bleb infection after glaucoma surgery . Arch Ophthalmol . 1994;112:57-61.Crossref 4. Greenfield DS, Suner IJ, Miller MP, Kangas TA, Palmberg PF, Flynn HW. Endophthalmitis and filtering surgery with mitomycin . Arch Ophthalmol . 1996;114:943-949.Crossref 5. Bellows AR, McCulley JP. Endophthalmitis in aphakic patients with unplanned filtering blebs wearing contact lenses . Ophthalmology . 1981;88:839-843.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Aug 1, 1997

References