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Contact lens intolerance in association with epithelial dystrophy
Summary
Epithelial basement membrane dystrophy can cause corneal changes in contact lens wearers, sometimes leading to recurrent erosion. These findings suggest that certain forms of this dystrophy are not benign with contact lens use.
Area of Science:
- Ophthalmology
- Corneal Science
- Contact Lens Research
Background:
- Epithelial basement membrane dystrophy (EBMD) is a corneal condition affecting transparency.
- Contact lens wear is common, and tolerance varies widely among wearers.
Observation:
- Refractile changes in corneal transparency were observed in contact lens wearers with EBMD.
- A spectrum of contact lens tolerance was noted in these individuals.
Findings:
- Contact lens wear can precipitate recurrent epithelial erosion in some patients with EBMD.
- Conversely, some patients with EBMD exhibit excellent contact lens tolerance.
Implications:
- Pure bleb forms of EBMD may have significant implications for contact lens wearers.
- Ophthalmologists should consider EBMD when assessing contact lens intolerance or complications.