<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2604-1227</journal-id>
<journal-title><![CDATA[Revista mexicana de oftalmología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. oftalmol]]></abbrev-journal-title>
<issn>2604-1227</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Oftalmología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2604-12272025000200059</article-id>
<article-id pub-id-type="doi">10.24875/rmo.m25000311</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Lentes esclerales frente a LCRPG tras crosslinking en queratocono: reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Scleral versus RGPCLs after corneal crosslinking in keratoconus: case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Bautista]]></surname>
<given-names><![CDATA[Edwin F.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garcia-Valenzuela]]></surname>
<given-names><![CDATA[Omar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Duran-Lizarraga]]></surname>
<given-names><![CDATA[Hector]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Navarro-Partida]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Oftalmológico Guillermo Avalos Urzua Servicio de Oftalmología ]]></institution>
<addr-line><![CDATA[Guadalajara ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Tecnológico y de Estudios Superiores de Monterrey Escuela de Medicina y Ciencias de la Salud ]]></institution>
<addr-line><![CDATA[Zapopan ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2025</year>
</pub-date>
<volume>99</volume>
<numero>2</numero>
<fpage>59</fpage>
<lpage>62</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2604-12272025000200059&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2604-12272025000200059&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2604-12272025000200059&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: El manejo del queratocono con lentes esclerales es generalmente más cómodo para el paciente, lo que puede resultar en una mayor adherencia al tratamiento y resultados óptimos. Este estudio compara la eficacia de los lentes esclerales frente a los lentes rígidos permeables al gas (LCRPG) en términos de agudeza visual y sensibilidad al contraste.  Objetivo: Comparar la agudeza visual y la sensibilidad al contraste en un paciente tras operación de crosslinking adaptado con LCRPG vs. lente escleral.  Métodos: Un paciente de 14 años con queratocono avanzado y complicaciones tras crosslinking fue evaluado utilizando ambos tipos de lentes. Se midieron la agudeza visual y la sensibilidad al contraste mediante pruebas normalizadas (Pelli-Robson e Ishihara).  Resultados: Los lentes esclerales mostraron resultados más favorables en comparación con los LCRPG, con una mejor agudeza visual y sensibilidad al contraste.  Conclusión: Los lentes esclerales proporcionaron una mejor adaptación y resultados superiores en comparación con los LCRPG para el paciente con queratocono avanzado tras crosslinking.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: The management of keratoconus with scleral lenses is generally more comfortable for the patient, which may result in better treatment adherence and optimal outcomes. This study compares the effectiveness of scleral lenses vs. rigid gas-permeable contact lenses in terms of visual acuity and contrast sensitivity.  Objective: To compare visual acuity and contrast sensitivity in a post&#8211;corneal cross-linking patient fitted with an rigid gas-permeable contact lenses versus a scleral lens.  Methods: A 14-year-old patient with advanced keratoconus and post crosslinking complications was evaluated using both types of lenses. Visual acuity and contrast sensitivity were measured using standardized tests (Pelli-Robson and Ishihara).  Results: Scleral lenses showed more favorable results compared with rigid gas-permeable contact lenses, demonstrating better visual acuity and contrast sensitivity.  Conclusion: Scleral lenses provide a better fit and superior outcomes compared with rigid gas-permeable contact lenses for this patient with advanced keratoconus following corneal crosslinking.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Crosslinking corneal]]></kwd>
<kwd lng="es"><![CDATA[Lente escleral]]></kwd>
<kwd lng="es"><![CDATA[Lente rígido permeable al gas]]></kwd>
<kwd lng="es"><![CDATA[Queratocono]]></kwd>
<kwd lng="es"><![CDATA[Sensibilidad al contraste]]></kwd>
<kwd lng="en"><![CDATA[Contrast sensitivity]]></kwd>
<kwd lng="en"><![CDATA[Corneal crosslinking]]></kwd>
<kwd lng="en"><![CDATA[Keratoconus]]></kwd>
<kwd lng="en"><![CDATA[Rigid gas-permeable contact lens]]></kwd>
<kwd lng="en"><![CDATA[Scleral lens]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Krachmer]]></surname>
</name>
<name>
<surname><![CDATA[Jay]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Mark J]]></surname>
<given-names><![CDATA[Mannis]]></given-names>
</name>
<name>
<surname><![CDATA[Edward]]></surname>
<given-names><![CDATA[J Holland]]></given-names>
</name>
</person-group>
<source><![CDATA[Cornea]]></source>
<year>2005</year>
<edition>2nd ed</edition>
<publisher-loc><![CDATA[Philadelphia ]]></publisher-loc>
<publisher-name><![CDATA[Elsevier Mosby]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[González-García]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[García-Sánchez]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Epidemiology of Keratoconus in Mexico]]></article-title>
<source><![CDATA[Rev Mex Oft]]></source>
<year>2020</year>
<volume>94</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>120-5</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Binder]]></surname>
<given-names><![CDATA[PS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Corneal Collagen Crosslinking: Review of Current Status]]></article-title>
<source><![CDATA[Ophthalmology]]></source>
<year>2007</year>
<volume>114</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>614-8</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chiu]]></surname>
<given-names><![CDATA[JK]]></given-names>
</name>
<name>
<surname><![CDATA[Schallhorn]]></surname>
<given-names><![CDATA[SC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Scleral Lenses for Keratoconus: A Review]]></article-title>
<source><![CDATA[Journal of Cornea and External Disease]]></source>
<year>2016</year>
<volume>35</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>585-91</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[GA]]></given-names>
</name>
<name>
<surname><![CDATA[Waring]]></surname>
<given-names><![CDATA[GO]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Gas-Permeable Contact Lenses: Complications and Management]]></article-title>
<source><![CDATA[Contact Lens Spectrum]]></source>
<year>2007</year>
<volume>22</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>16-20</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pelli]]></surname>
<given-names><![CDATA[DG]]></given-names>
</name>
<name>
<surname><![CDATA[Robson]]></surname>
<given-names><![CDATA[JG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pelli-Robson Contrast Sensitivity Test]]></article-title>
<source><![CDATA[Investigative Ophthalmology &amp; Visual Science]]></source>
<year>1998</year>
<volume>29</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1138-45</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ishihara]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<source><![CDATA[Ishihara's Test for Colour Blindness]]></source>
<year>2006</year>
<publisher-name><![CDATA[Kanehara &amp; Co., Ltd]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[McMahon]]></surname>
<given-names><![CDATA[TT]]></given-names>
</name>
<name>
<surname><![CDATA[Fong]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Visual Outcomes with Scleral Lenses for Keratoconus]]></article-title>
<source><![CDATA[Eye &amp; Contact Lens]]></source>
<year>2010</year>
<volume>36</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>220-5</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lumbroso]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Vassallo]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Lens Choices for Keratoconus Patients: Scleral vs RGP&#8220;]]></article-title>
<source><![CDATA[British Journal of Ophthalmology]]></source>
<year>2012</year>
<volume>96</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>601-6</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Meyer]]></surname>
<given-names><![CDATA[CH]]></given-names>
</name>
<name>
<surname><![CDATA[Reitz]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Comparison of Visual Acuity and Contrast Sensitivity with Scleral and Gas-Permeable Lenses]]></article-title>
<source><![CDATA[American Journal of Ophthalmology]]></source>
<year>2015</year>
<volume>159</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>84-92</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Farris]]></surname>
<given-names><![CDATA[RK]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Advances in the Treatment of Keratoconus&#8220;]]></article-title>
<source><![CDATA[Current Opinion in Ophthalmology]]></source>
<year>2009</year>
<volume>20</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>251-8</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sanchis-Gimeno]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[O'Brart]]></surname>
<given-names><![CDATA[DP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Comparative Study of Lenses for Keratoconus Management&#8220;]]></article-title>
<source><![CDATA[Journal of Refractive Surgery]]></source>
<year>2012</year>
<volume>37</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>486-91</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mather]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The Benefits of Scleral Lenses in Keratoconus]]></article-title>
<source><![CDATA[Contact Lens &amp; Anterior Eye]]></source>
<year>2004</year>
<volume>27</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>69-74</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Spadea]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Liu]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Handling Complications in Keratoconus Treatment: A Review]]></article-title>
<source><![CDATA[Clinical Ophthalmology]]></source>
<year>2018</year>
<volume>12</volume>
<page-range>2371-81</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pacheco]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez-Sánchez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[&#8220;Efficacy of Scleral Lenses vs Gas-Permeable Lenses for Keratoconus]]></article-title>
<source><![CDATA[Rev Mex Oft]]></source>
<year>2022</year>
<volume>96</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>189-95</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
