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                <text>Objetivo: Valorar la efectividad de las lentes de contacto para la corrección óptica del queratocono. Métodos: Adaptamos lentes de contacto en 206 ojos de 115 pacientes diagnosticados de queratocono. Las lentes de contacto utilizadas fueron rígidas permeables al gas, SoftPerm y CSI. La adaptación se realizó con cajas de pruebas, valorando sucesivamente la estabilidad de la lente en el ojo, centrado, patrón fluoresceínico, agudeza visual y tolerancia. Resultados: En el 94,6 por ciento de los queratoconos la adaptación se realizó con lentes rígidas permeables al gas. Las lentes de diseños especiales para queratoconos las adaptamos en el 50 por ciento de los ojos. La agudeza visual conseguida fue de 0,78 + 0,2, con una tolerancia a la lente de contacto de todo el día en el 59,2 por ciento. El grado de evolución del queratocono y la intolerancia a las lentes mostraron una relación significativa (p [ 0,02 para el grado III, p[ 0,01 para el grado IV). En el patrón topográfico central adaptamos en el 78,8 por ciento lente multicurva de pequeilo diámetro y en los periféricos preferentemente lentes rígidas convencionales. Conclusión: La corrección óptica con lentes de contacto rígidas permeables al gas representa el medio más frecuente y eficaz para mejorar la agudeza visual de los pacientes con queratocono. El patrón topográfico influye en la adaptación de los distintos diseños de las lentes rígidas y el grado de evolución del queratocono en la tolerancia a la lente.</text>
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