Post-graft patients represent one of the most challenging conditions for contact lens practitioners. First of all, the shape of the cornea is often highly irregular and most of the time oblate. The presence of sutures can be problematic. The rapid loss of endothelial cells, after the graft, drives the need for fitting contact lenses with a high level of oxygen delivery. Moreover, grafted cornea are subject to rejection, chronic inflammation, and vascularization. Topical medications are often used and contact lenses wear should be made compatible.
- Procedures, troubleshooting and Discussion