RGP lens in place





The use of a rigid gas permeable lens in ocular cicatricial pemphigoid


Ocular cicatrical pemphigoid is a chronic, progressive, auto-immune disease characterised by shrinkage of the conjunctiva, entropion, trichiasis, xerosis and, finally, reduced vision from corneal opacification. The long-term prognosis ia always very poor, although systematic immunosuppressive chemotherapy, topical retinoids and contact lens wear are beneficial. Various types of contact lenses are useful in managing this disease. In the case described, an RGP lens was used to improve vision, surface wetting and the physiological and visual prognosis.

Clin Exp Optom 1992; 75:181-191

Konrad Pesudovs, BSc Optom and
Anthony J Phillips, MPhil, FBCO, FBOA,

Westbourne Park, South Australia

Accepted for publication: 20 October 1992

Also published as Harte gaspermeable kontaktlinsen bei vernarbendem pemphigus ocularis. Die Kontaktlinse 1993; 27:13-16.

Figure 2b

Left eye: moderately advanced OCP, featuring symblepharon, corneal and conjunctival keratinisation, neovascularisation and pannus.
Note the central dimple.

Key words: ocular cicatrical pemphigoid, auto-immunity, xerosis, corneal wetting, RGP lens, irregular astigmatism


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