# Experience of applying cosmetic Etafilcon A contact lens in cases with microcornea

## TL;DR

This study shows that Etafilcon A contact lenses can effectively improve the appearance and comfort of patients with microcornea.

## Contribution

This is the first study to report the use of 1-DAY ACUVUE® DEFINE® with Lacreon® lenses for cosmetic rehabilitation in microcornea.

## Key findings

- Patients with microcornea showed high cosmetic satisfaction with Etafilcon A contact lenses.
- The lenses provided acceptable corneal diameter asymmetry adjustment and comfort.
- Patients achieved best-corrected visual acuity without vision issues under various lighting conditions.

## Abstract

Microcornea is a rare condition that frequently resulets in serious cosmetic
concerns due to the resultant asymmetrical appearance of the eye, and its
cosmetic rehabilitation is possible with the use of colored contact lenses.
This paper aims to present our experiences with the use of cosmetic
Etafilcon A contact lenses for microcornea.

Eight patients with unilateral microcornea without any systemic involvement
were included in this study, and they underwent routine ophthalmological
examination, corneal topography, and optical biometry. We applied the
cosmetic Etafilcon A contact lens (1-DAY ACUVUE®
DEFINE® with Lacreon®) of the same
edge color to the patients. The levels of satisfaction in terms of cosmesis
and comfort were evaluated with the use of visual analog scales (VAS).

In the patients, the corneal diameter asymmetry was acceptably adjusted, and
each of the patients reported extreme satisfaction. The mean VAS score was
8.9 ± 1.0 (range: 7-10) for the cosmetic satisfaction rate and 8.4
± 1.0 (range: 7-10) for the comfort rate. The patients obtained the
best-corrected visual acuity without or with additional eye-glasses. None of
the patients complained about vision issues under photopic and scotopic
conditions.

1-DAY ACUVUE® DEFINE® with
Lacreon® lens has promising satisfactory cosmetic
outcomes along with visual enhancement in cases of microcornea. This is the
first study to report the use of this lens for the cosmetic rehabilitation
of patients with microcornea.