Original Paper

International Ophthalmology

, Volume 32, Issue 4, pp 321-327

First online:

First contact diagnosis and management of contact lens-related complications

  • Xavier J. FaganAffiliated withRoyal Victorian Eye and Ear Hospital
  • , Vishal JhanjiAffiliated withDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong KongCentre for Eye Research Australia, University of Melbourne
  • , Marios ConstantinouAffiliated withCentre for Eye Research Australia, University of Melbourne
  • , F. M. Amirul IslamAffiliated withCentre for Eye Research Australia, University of MelbourneDepartment of Mathematics and Computing, University of Southern Queensland
  • , Hugh R. TaylorAffiliated withCentre for Eye Research Australia, University of MelbourneMelbourne School of Population Health, University of Melbourne
  • , Rasik B. VajpayeeAffiliated withCentre for Eye Research Australia, University of MelbourneRoyal Victorian Eye and Ear HospitalDr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences Email author 

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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.


Contact lens Management Complications