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ABSTRACT
Introduction:
RGP is rigid lens can permits the passage of oxygen, can used for refractive error, anisometropia
and keratoconus. RGP can used for a long term time and extended wear but irregular maintenance
can make deposits in contact lens and cause visual disturbance.
Purpose:
A case report study, a patient was diagnosed high myopia in both eyes threated with RGP.
Method:
30 yo female diagnosed with high myopia used RGP along 4 years. History of maintenance RGP is
poor with no remove the lens during one month. Visual acuity (VA) with RGP is 20/50 in right eye
(RE) & 20/40 in left eye (LE). In slitlamp examination show deposits in both RGP lens without
conjungtiva and ciliar injection, cornea still clear. Deposits like jelly bumps suspect round &
nodular lesion composed with calcium, lipid, cholesterol and protein. However not all deposits
can remove from contact lens after RGP clearance with solution liquid along a half an hour. After
that VA patient increased into 20/25 in both eyes and we still suggest patient to replace the RGP.
Result:
Deposit in contact lens as consequence using longterm, extended and poor maintenance RGP.
Although in this cast, deposits cannot make corneal erosion, disciplinary patient in maintenance
RGP still important.
Conclusion:
Contact lens deposit can formed if handling and maintenance of RGP not good and cause visual
disturbance.
Key word: rigid gas permeable, contact lens deposits, extended wear
Reference:
1. Bennet ES. Gas-Permeable Material Selection. In: Clinical Manual of Contact Lens. Philadelphia:
Lippincont William & Wilkins, 2009. pp: 79-92.
2. Dumbleton K, Jones L. Extended Wear. In: Clinical Manual of Contact Lens. Philadelphia:
Lippincont William & Wilkins, 2009. pp: 410-430.
3. Craig JP, Willcox MD et all. Report of the Contact Lens Interactions With the Tear Film
Subcommittee. In: Investigative Ophthalmology & Visual Science October 2013, Vol.54
4. Ghanem CC, Berntsen DA. Complications Associated with Material, Deposits and Lens Design in
Rigid Gas Permeable Lens. In: Contact Lenses in Ophthalmic Practice. New York: Springer, 2004.
pp:267-279.