KERATOKONUSLU PASİYENTLƏRİN HİBRİD LİNZALARLA KORREKSİYASININ İLKİN NƏTİCƏLƏRİ

Abstract

SUMMARY

Aim - to analyse the first results ofkeratoconus correlation with hybrid lenses (SynergEyes).

Materials and methods
In this study 20 patients (32 eyes) with keratoconus were examined at the “Dobromed” clinic during one year.
The average age of patients was 30.55 ± 9 (17-53) years. Among 20 patients there were 14 men and 6 women.
The visual acuity without correction, correction with eyeglasses, contact correction with hybrid lenses,
examination of the keratotopography, examination of the anterior and posterior segment of the eye on a slit lamp
were determined.
Correction by hybrid lenses was assigned to patients.
Based on the data of keratotopography we determined the degree ofkeratoconus: on 15 eyes - 3rd degree; on
9 eyes - the 2nd ; on 8 eyes - the 1st degree.

Results
Out of 32 eyes on 20 eyes there was made the post-comeal cross-linking, on 6 eyes - post-comeal cross-linking
+ intrastromal corneal ring segment, on 2 eyes - post-comeal cross-linking + phacoemulsification, on 1 eye -
post-comeal crosslinking + phakic intraocular lens, on 1 eye - eximer + post-comeal crosslinking + intrastromal
corneal ring segment; in 2 cases after the diagnosis ofkeratoconus, taking into account the age of the patients, no
procedures were performed.
As the result of this examination we obtained the average statistical indices of refractometry, keratometry,
visual acuity without correction, spherical and cylindrical components, the results of spectacle and contact (hybrid
lens) correction.
So, in biomicroscopy the cone shape was detected in 28-eyes, the Fleischer's ring - on 10 eyes, on 5 eyes we
observed the rust concentration zones in the stroma, in deep layers of the stroma the Vogt Striae were revealed in 13 eyes.
During the ophthalmoscopy the relatively normal fundus was observed on 32 eyes.

Conclusion
So, the obtained primary results of our examination show that visual acuity on average doubles with correction
ofkeratoconus with hybrid lenses compared with glasses. Thus, the use of Synerg Eyes hybrid lenses in patients
with keratoconus is a more effective and comfortable method of correction.