Corneal neovascularization from extended wear lenses

It is the author's opinion that extended wear lenses should be fit with caution on patients who cannot wear or handle daily wear lenses or adapt to aphakic spectacles. Standard protocol after initial fitting should be to examine the anterior segment with the slit lamp for vascular changes every three months indefinitely without final discharge. Patients who cannot keep all of their follow-up appointments or cannot afford long-term professional fees and lens replacement costs should not be fit with extended wear lenses. It should be stressed to patients that any changes of vision or comfort require an immediate examination by their doctor.