If a patient with normal corneas was to choose to have refractive surgery, there would be a recommendation to leave RGP lenses out for a period of time before surgery.
This is due to the fact that rigid lenses mould the cornea (indeed, the process of Ortho K depends on this happening) and the cornea needs time to return to its normal state before surgery, so that proper assessments can be made.
This process can take around 6 weeks for normals (1) and may take considerably longer for a softer, keratoconic cornea.
This demoulding effect should always be taken into account when refitting into KeraSoft IC from a rigid lens modality
The predictive factor for demoulding is the number of years the patient has been wearing RGP lenses.
Once a patient has been refitted successfully, vision and prescription then tend to remain stable.
If the cone is displaced away from the line of sight, then prescription changes may not be as great as corneal shape changes predict.
Patient wore RGPs for 20 years
Over a period of a year, the prescription of the KeraSoft IC lens remained constant at :
8.20:14.50:STD -14.00/-4.00 X 45 VA 6/9
Some fluctuation was noticed in the first week or so only. Notice that there is little change along the visual axis