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CLEAR - Contact lens complications.

Fiona Stapleton1, May Bakkar2, Nicole Carnt3

  • 1School of Optometry & Vision Science, UNSW Sydney, NSW, Australia.

Contact Lens & Anterior Eye : the Journal of the British Contact Lens Association
|March 29, 2021
PubMed
Summary
This summary is machine-generated.

Contact lens complications affect one-third of wearers, ranging from mild to severe. This review covers their classification, causes, and management strategies for safe contact lens wear.

Keywords:
HypersensitivityInfectionInflammationMechanicalMetabolicPapillary conjunctivitisToxic

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Area of Science:

  • Ophthalmology
  • Optometry
  • Corneal Science

Background:

  • Contact lens wear is associated with numerous ocular surface complications.
  • These complications arise from direct physiological effects, material interactions, and microbial factors.
  • Pre-existing conditions can complicate diagnosis and management of contact lens-related issues.

Purpose of the Study:

  • To provide a comprehensive overview of contact lens-related complications.
  • To summarize evidence on classification, epidemiology, and pathophysiology.
  • To outline management and prevention strategies for optimizing contact lens wear.

Main Methods:

  • Systematic review of existing literature on contact lens complications.
  • Classification of complications into categories like infection, inflammation, metabolic, mechanical, toxic/allergic, and dry eye.
  • Analysis of pathophysiology, epidemiology, and management approaches.

Main Results:

  • Complications affect approximately one-third of contact lens wearers.
  • Major categories include microbial keratitis, sterile keratitis, metabolic disorders, mechanical issues, toxic/allergic reactions, and dry eye disease.
  • Contact lens wear can exacerbate existing conditions like papillary conjunctivitis and microbial keratitis.

Conclusions:

  • Effective management and prevention strategies are crucial for safe contact lens wear.
  • Understanding the diverse range of complications is key for timely diagnosis and treatment.
  • This review offers evidence-based guidance for eye care professionals and contact lens wearers.