The effect of extended-wear aphakic hydrophilic contact lenses after penetrating keratoplasty.
I fitted nine aphakic patients who had undergone penetrating keratoplasty with extended-wear hydrophilic contact lenses (55% to 80% water content). All patients had edematous host corneas. Eight of nine developed vascularization of the graft after two to 30 weeks of contact lens wear. One patient developed a presumed Candida keratitis. The development of vascularization of the graft suggests that patients with grafted corneas are at special risk with extended-wear hydrophilic contact lenses.