Adaptación de Lentes de Contacto Híbridos posterior a cirugía de anillos intraestromales en Bogotá durante el 2025

Abstract

Keratoconus is a progressive inflammatory corneal ectasia characterized by central or paracentral corneal thinning, generally with irregular and asymmetric astigmatism. Objective To fit a hybrid contact lens in a patient diagnosed with grade II keratoconus in both eyes, post-surgical intrastromal rings and intolerance to limbal gas permeable lenses (FIBA) in the city of Bogota in 2025. Methodology: Prospective observational descriptive study, case report type, where a DUETTE hybrid contact lens is adapted, adapted to grade II keratoconus in both eyes satisfactorily. Description of the Case, 26-year-old female patient who during the optometry examination was shown to have type II keratoconus in both eyes, without successful experience in her gas permeable lenses after intrastromal rings surgery, also with a pathological diagnosis of the ocular surface that led to the rejection of this adaptation, due to this it is decided to adapt a hybrid contact lens seeking to improve visual quality and comfort, Results a hybrid contact lens was adapted DUETTE in both eyes obtaining quality and visual comfort with a visual acuity in both eyes of distance and near 20/20 Conclusions hybrid contact lenses with corneal and scleral support are a good alternative for patients who have intolerance to corneal or limbal contact lenses allowing the patient to have good visual quality and comfort despite their alteration in the ocular surface