Reporte de caso: Adaptación de lentes de contacto híbridos en paciente con Crosslinking y anillos intraestromales en consultorio particular en Medellín en el año 2025 y 2026

Abstract

Keratoconus is a degenerative disorder characterized by corneal thinning, which causes irregular astigmatism and impaired vision. It is usually bilateral, but often asymmetric (1). Objective: To fit hybrid contact lenses to a patient with crosslinking and intrastromal ring implants in a private practice in Medellín in 2025 and 2026. Methodology: This was a descriptive, observational case report study in which hybrid contact lenses were fitted to a patient diagnosed with keratoconus and with a history of crosslinking and intrastromal ring implants. Case report: An 18-year-old female patient with a history of keratoconus and crosslinking and intrastromal ring implant surgery in both eyes was successfully fitted with good visual acuity and comfort. Results: A Duette brand hybrid contact lens was fitted, achieving comfort and improvement in distance and near vision to 20/30 in the right eye and 20/25 in the left eye. Conclusions: Hybrid contact lenses are an effective alternative for visual rehabilitation, even in those with a history of corneal crosslinking and intracorneal ring implantation.