Contact lens fitting in high degree myopia

Advantages and disadvantages of both spectacle and contact lens correction of high degree myopia are reviewed. Pertinent aftercare problems in this group of patients are discussed. Aspects of contact lens wear with regard to the eyelids are described. Soft contact lens problems are discussed in relation to the greater thickness of lenses of high power. Guidelines are provided for the fitting of rigid gas permeable and of soft contact lenses for this patient group. Other factors are explored in lens fitting such as over-refraction, near vision and practitioner costs. Recommendations are given for advising on lens care and aftercare.