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Contact lens intolerance; allergic conjunctivitis?

P Podmore1, F J Storrs

  • 1Altnagelvin Area Hospital, Londonderry, Northern Ireland.

Contact Dermatitis
|February 1, 1989
PubMed
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Contact lens intolerance may stem from allergic reactions. Patch testing and contact urticaria tests identified positive reactions in some patients, suggesting specific sensitivities to contact lens solutions or components.

Area of Science:

  • Ophthalmology
  • Allergology
  • Dermatology

Background:

  • Contact lens intolerance affects numerous patients.
  • Identifying the cause is crucial for effective management.
  • Allergic reactions are a suspected cause.

Purpose of the Study:

  • To investigate the role of allergic reactions in contact lens intolerance.
  • To evaluate the diagnostic utility of patch testing and contact urticaria testing.

Main Methods:

  • Twenty patients with contact lens intolerance underwent patch testing.
  • Testing included contact lens solutions and component batteries.
  • Contact urticaria testing was also performed.

Main Results:

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  • Eight patients (40%) showed positive delayed reactions on patch testing.
  • Six patients (30%) exhibited positive contact urticaria reactions.
  • Nine patients (45%) had no positive reactions to the tested allergens.

    • Conclusions:

    • Allergic mechanisms, including delayed hypersensitivity and contact urticaria, are implicated in some cases of contact lens intolerance.
    • Further investigation is needed for patients with negative test results.
    • Alternative diagnoses should be considered for persistent intolerance.