The Role Of Therapeutic Contact Lenses In Thygeson’S Superficial Punctate Keratitis
Published 2025 - 43rd Congress of the ESCRS
Reference: PO620 | Type: Free paper | DOI: 10.82333/99be-zg45
Authors: Ekkehard Fabian* 1 , Andrea Janekova 2 , Pablo de Arriba Palomero 3 , Daniel Böhringer 4 , Florian Kretz 5 , Rosario Touriño-Peralba 6
1AugenCentrum Rosenheim,Rosenheim,Germany, 2Eye Center Prague,Prag,Czech Republic, 34Hospital Universitario Ramón y Cajal,Madrid,Spain, 4Faculty of Medicine, University of Freiburg,6Eye Center, Medical Center,Freiburg,Germany, 5Augentagesklinik Rheine,Precise Vision Augenärzte ,Rheine,Germany, 6Universitario de Santiago de Compostela,8Complejo Hospitalario,Santiago de Compostela,Spain
Purpose
To present various types of contact lenses as an additive treatment option to conventional treatment of artificial tears or steroid drops for managing Thygeson’s superficial punctate keratitis (TSPK) symptoms and improving patient outcomes.
Setting
A specialised contact lens practice in the Netherlands residing predominantly in hospitals and ophthalmology practices.
Methods
Seven patients diagnosed with TSPK who were treated with various types of contact lenses were described. Lens types included soft bandage lenses, filter lenses, piggy-back lenses, and scleral lenses. Patients were assessed for symptom relief, comfort, and visual improvement following lens fitting.
Results
All seven patients experienced notable improvement in comfort and a reduction in TSPK-related symptoms. Soft bandage lenses provided protection and symptomatic relief, while scleral lenses offered additional benefits in visual improvement for cases with significant corneal irregularity. Filter and piggy-back lenses also demonstrated efficacy in specific cases. No significant complications associated with lens use were reported during the observation period.
Conclusions
Contact lenses, particularly soft bandage lenses and scleral lenses, represent an effective therapeutic option for co-managing moderate to severe symptoms of TSPK. They provide symptomatic relief, protect the corneal surface, and, in some cases, improve vision. However, further research is needed to establish standardized treatment protocols for TSPK, define the role of contact lenses (as a stand-alone treatment or in combination with other therapies) in its management, and assess their long-term safety and efficacy.