International Ophthalmology

, Volume 32, Issue 4, pp 321–327

First contact diagnosis and management of contact lens-related complications

Authors

  • Xavier J. Fagan
    • Royal Victorian Eye and Ear Hospital
  • Vishal Jhanji
    • Department of Ophthalmology and Visual SciencesThe Chinese University of Hong Kong
    • Centre for Eye Research AustraliaUniversity of Melbourne
  • Marios Constantinou
    • Centre for Eye Research AustraliaUniversity of Melbourne
  • F. M. Amirul Islam
    • Centre for Eye Research AustraliaUniversity of Melbourne
    • Department of Mathematics and ComputingUniversity of Southern Queensland
  • Hugh R. Taylor
    • Centre for Eye Research AustraliaUniversity of Melbourne
    • Melbourne School of Population HealthUniversity of Melbourne
    • Centre for Eye Research AustraliaUniversity of Melbourne
    • Royal Victorian Eye and Ear Hospital
    • Dr. Rajendra Prasad Centre for Ophthalmic SciencesAll India Institute of Medical Sciences
Original Paper

DOI: 10.1007/s10792-012-9563-z

Cite this article as:
Fagan, X.J., Jhanji, V., Constantinou, M. et al. Int Ophthalmol (2012) 32: 321. doi:10.1007/s10792-012-9563-z

Abstract

To describe the spectrum of contact lens-related problems in cases presenting to a tertiary referral eye hospital. A retrospective case record analysis of 111 eyes of 97 consecutive patients was undertaken over a period of five months at the Royal Victorian Eye and Ear Hospital, Melbourne, Australia. Contact lens-related complications (CLRC) were classified into microbial keratitis, sterile corneal infiltrates, corneal epitheliopathy and contact lens-related red eye (CLARE). Main parameters examined were nature of the first contact, clinical diagnosis, and management pattern. Forty-two percent of the initial presentations were to health care practitioners (HCPs) other than ophthalmologists. Mean duration from the onset of symptoms to presentation was 6.3 ± 10.9 days. Forty-nine percent (n = 54) of patients had an associated risk factor, most commonly overnight use of contact lenses (n = 14, 13 %). Most common diagnosis at presentation was corneal epitheliopathy (68 %) followed by sterile infiltrates (10 %), CLARE (8 %) and microbial keratitis (6 %). No significant differences were found in the pattern of treatment modalities administered by ophthalmologists and other HCPs. HCPs other than ophthalmologists are the first contact for contact lens-related problems in a significant proportion of patients. These HCPs manage the majority of CLRC by direct treatment or immediate referral.

Keywords

Contact lensManagementComplications

Copyright information

© Springer Science+Business Media B.V. 2012