Abstract

To the Editor. —Therapeutic soft contact lenses can be very useful in treating a variety of ocular surface problems, including bullous keratopathy, disorders of corneal wetting, conjunctival diseases, epithelial defects, and corneal ulcers. 1,2 Since July 1989, we have been using disposable extended-wear contact lenses (Acuvue [8.6-mm base curve, 14-mm diameter] and Nuvue [8.8-mm base curve, 14.0-mm diameter]) as a therapeutic modality for such corneal disorders as persistent epithelial defects resulting from a multitude of causes, recurrent corneal erosion refractory to conventional treatment, and corneal wound leaks. In addition, we have instituted these lenses for smoothing an irregular surface, for relief of pain associated with surface abnormalities (eg, bullous keratopathy), and as a covering over tissue adhesive. We have successfully fitted more than 75 patients with a disposable contact lens for the treatment of corneal surface abnormalities. No adverse effects (eg, infectious keratitis or toxic reaction) have been encountered thus

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