Contact Lens Complications

Limbal Stem Cell Deficiency (Contact Lens-Induced) SYMPTOMS Discomfort | Blurry vision | Contact lens-induced LSCD is often asymptomatic SIGNS Corneal conjunctivalization | Neovascularization | Epithelial keratopathy | Corneal scarring | Curvilinear or whorl-like NaFl pattern WORK-UP Thorough history. Slit lamp examination with NaFl dye TREATMENT Discontinue CL wear | Preservative-free artificial tears | Autologous serum…

Contact Lens-Associated Red Eye (CLARE) SYMPTOMS Pain | Photophobia | Blurry vision | Tearing | Contact lens intolerance SIGNS Injection | Corneal edema | Neovascularization | Epithelial keratopathy | Possible cells/flare in the anterior chamber | Possible infiltrates WORK-UP Thorough history. Slit lamp examination TREATMENT Discontinue CL wear | Preservative-free artificial tears | Topical antibiotics…

Bacterial Keratitis SYMPTOMS Pain (usually significant) | Discharge | Photophobia | Blurry vision | Contact lens discomfort SIGNS Injection | Discharge | Ulcer (SEI + epi defect) | Cells/flare | Corneal edema | Descemet folds WORK-UP Thorough history. Slit lamp examination with NaFl dye TREATMENT Discontinue CL wear | Medical management depends on severity and…