Fitting Contacts for Cross-Linking Patients Post-Procedure
For physicians treating progressive keratoconus, performing iLink, the only FDA-approved cross-linking procedure, is just one of the steps towards getting patients on the right path to managing their condition. Another is fitting them with the right contact lenses.
At the 2019 Optometry’s Meeting in Saint Louis, Dr. Clark Chang, OD, MSA, of Wills Eye Hospital in Pennsylvania and Glaukos Medical Affairs spoke with Healio news and shared some tips for providing post cross-linking patients with the right contacts.
Post-Procedure Wait Time
First and foremost, Dr. Clark Chang says patience is key in deciding when you should begin fitting cross-linking patients with contact lenses. Waiting for the epithelium to fully heal following an epi-off cross-linking procedure is best practice, even if it means waiting anywhere between 4 to 6 weeks.
While piggyback, hybrid, or scleral lenses may be fitted soon after the procedure, it may be worth waiting longer to try soft or corneal gas permeable (GP) lenses, which can be more comfortable and potentially more cost-effective for the patient.
Contact Lens Comfortability
For patients that require easy lens handling, corneal GP and soft lenses may be best because they are typically easier to insert and remove. However, if comfort is their top priority, then the patient may be better suited for hybrid or scleral lenses.
Above all, Dr. Chang emphasizes that one size does not fit all patients when it comes to contact lenses. While corneal GP lenses remain the gold standard, lenses that work for one patient may not be suitable for another.
Click here to watch the full video with Dr. Chang on Healio.