International Ophthalmology

, Volume 32, Issue 4, pp 321–327 | Cite as

First contact diagnosis and management of contact lens-related complications

  • Xavier J. Fagan
  • Vishal Jhanji
  • Marios Constantinou
  • F. M. Amirul Islam
  • Hugh R. Taylor
  • Rasik B. Vajpayee
Original Paper

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 lens Management Complications 

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Copyright information

© Springer Science+Business Media B.V. 2012

Authors and Affiliations

  • Xavier J. Fagan
    • 1
  • Vishal Jhanji
    • 2
    • 3
  • Marios Constantinou
    • 3
  • F. M. Amirul Islam
    • 3
    • 4
  • Hugh R. Taylor
    • 3
    • 5
  • Rasik B. Vajpayee
    • 3
    • 1
    • 6
  1. 1.Royal Victorian Eye and Ear HospitalEast MelbourneAustralia
  2. 2.Department of Ophthalmology and Visual SciencesThe Chinese University of Hong KongHong KongHong Kong
  3. 3.Centre for Eye Research AustraliaUniversity of MelbourneEast MelbourneAustralia
  4. 4.Department of Mathematics and ComputingUniversity of Southern QueenslandToowoombaAustralia
  5. 5.Melbourne School of Population HealthUniversity of MelbourneMelbourneAustralia
  6. 6.Dr. Rajendra Prasad Centre for Ophthalmic SciencesAll India Institute of Medical SciencesNew DelhiIndia

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