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Rethinking contact lens aftercare.

Nathan Efron1, Philip B Morgan2

  • 1School of Optometry and Vision Science, Queensland University of Technology, Kelvin Grove, Queensland, Australia.

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Summary

Contact lens aftercare has lagged behind technological advances. This review suggests updated visit frequencies for routine contact lens aftercare, balancing ocular health with wearer convenience and prescription validity.

Keywords:
aftercarecomfortcommercial considerationscompliancecomplicationscontact lensdrop-outlens fitting performanceocular healthproduct advicevisionvisit frequency

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Area of Science:

  • Ophthalmology
  • Optometry
  • Contact Lens Technology

Background:

  • Contact lens technology has advanced significantly in materials, design, and wear modalities over 30 years.
  • Current aftercare practices remain conservative, not fully evolving with modern lens technology.
  • This contrasts with the rapid evolution of lens materials and wear schedules.

Purpose of the Study:

  • To review current contact lens aftercare practices.
  • To determine optimal routine visit frequencies for contact lens wearers.
  • To evaluate regulations concerning contact lens prescription expiry dates.

Main Methods:

  • Review of current aftercare practices and literature.
  • Identification of key clinical and commercial reasons for aftercare visits.
  • Development of a decision matrix for determining inter-visit intervals.
  • Analysis of regulatory frameworks for prescription validity.

Main Results:

  • Four key clinical reasons for aftercare: ocular health, vision, comfort, and lens fit.
  • Recommended intervals: 24 months (daily disposables), 12 months (daily reusables/rigid daily wear), 6 months (extended wear).
  • Initial visits: 1-2 weeks post-dispensing, and within 2 months for new wearers.
  • Adjustments needed for myopia progression (6 months) and presbyopia (12 months).

Conclusions:

  • Contact lens aftercare protocols require modernization to align with technological progress.
  • A structured approach to aftercare frequency optimizes patient care and safety.
  • Optometrists should retain the authority to set prescription expiry dates based on individual patient needs.