CONTACT LENS DEPOSITS IN UNDISCIPLINED PATIENT USING

EXTENDED WEAR RIGID GAS PERMEABLE (RGP)

Rinda Wati, Felichia Yovianda
Refraction, Contact Lens and Low Vision Subdivision
Department of Ophthalmology, Faculty of Medicine Andalas University
dr. M.Djamil Hospital Padang - West Sumatera, Indonesia

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.