MANAGEMENT OF HIGH UNILATERAL CORNEAL ASTIGMATISM WITH

RIGID GAS PERMEABLE CONTACT LENSES
Desty Ria Tiffani, Rinda Wati
Department of Ophthalmology Medical Faculty Andalas University
Dr. M. Djamil Hospital Padang, West Sumatera, Indonesia

ABSTRACT
Introduction:
Objective: To measure improvement in best-corrected visual acuity (BCVA) with Rigid
Gas Permeable (RGP) contact lenses in a patient with high corneal astigmatism.
Methods:
A 31-year-old female reported to Refraction and Contact Lens Subdivision with blurred
vision in right eye (RE). Patient had been wearing corrected spectacles for last few years
but no longer comfortable. Patient had no history of ocular trauma and ocular surgery.
Upon evaluation, BCVA of RE was 5/20 with corrected lens of -1.00 -8.00 x15. The left
eye was normal with visual acuity of 5/5. Patient could not tolerate the bifocal corrected
spectacle. Keratrometry (K) readings of RE was 7.83/6.87. During lens fitting, we used
Menicon Z and the best fitted lens of RE had base curve of 7.80 with refractive power of
-3.75 D improved BCVA of RE to 5/15. Best fitted lens for LE had base curve of 7.40
with no refractive power. We prescribed the patient with RGP contact lenses.
Result: BCVA of the RE improve to 5/15 with RGP contact lens. One week follow up,
patient have no complaint and the RGP contact lenses are well tolerated.
Conclusion: RGP contact lenses can help improving BCVA in patient with unilateral
high corneal astigmatism and are well tolerated compared to corrected spectacle.
Keyword: Astigmatism, High corneal astigmatism, Rigid Gas Permeable , Overrefraction,
Menicon Zα.
References:

1. Skuta GL, Cantor LB, Cioffi GA. Contact Lenses. Clinical Optic. Singapore: American
Academy of Ophthalmology. 2014-2015. pp. 151-193.