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Related Experiment Videos

Allergic rhinoconjunctivitis and contact lens intolerance.

P Kumar1, R Elston, D Black

  • 1Department of Medicine, Louisiana State University Medical Center, New Orleans 70112-2822.

The CLAO Journal : Official Publication of the Contact Lens Association of Ophthalmologists, Inc
|January 1, 1991
PubMed
Summary

Underlying allergic rhinoconjunctivitis significantly increases the risk of contact lens intolerance. Patients with allergy were more likely to experience absolute or partial intolerance to contact lenses.

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Area of Science:

  • Ophthalmology
  • Allergology
  • Public Health

Background:

  • Contact lens intolerance is a growing concern for eye care professionals.
  • Allergic rhinoconjunctivitis, commonly known as hay fever, affects a significant portion of the population.
  • The relationship between allergic rhinoconjunctivitis and contact lens intolerance requires further investigation.

Purpose of the Study:

  • To determine if underlying allergic rhinoconjunctivitis contributes to contact lens intolerance.
  • To quantify the association between allergic rhinoconjunctivitis and different types of contact lens intolerance.

Main Methods:

  • A questionnaire survey was administered to 885 contact lens wearers.
  • Participants were categorized into definite allergy, presumptive allergy, and no allergy groups based on symptoms and diagnostic criteria.

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  • Contact lens intolerance was classified as absolute intolerance (discontinuing lens wear) or partial intolerance (modifying lens/solution use).

    • Main Results:

    • Individuals with allergic rhinoconjunctivitis were more likely to experience contact lens intolerance (76%) compared to those without allergy (60%).
    • Seasonal exacerbation of eye symptoms while wearing contact lenses was significantly more frequent in the allergy group across spring, summer, and fall.
    • Specific allergy group showed a higher frequency of eye symptoms during spring (49% vs. 19%), summer (35% vs. 20%), and fall (27% vs. 12%).

    Conclusions:

    • Underlying allergic rhinoconjunctivitis is a significant contributing factor to contact lens intolerance.
    • Ophthalmologists and optometrists should consider screening for allergic rhinoconjunctivitis in patients experiencing contact lens intolerance.
    • Management strategies for contact lens intolerance may benefit from addressing underlying allergic conditions.