Fagan, Xavier J. and Jhanji, Vishal and Constantinou, Marios and Amirul Islam, F. M. and Taylor, Hugh R. and Vajpayee, Rasik B. (2012) First contact diagnosis and management of contact lens-related complications. International Ophthalmology, 32 (4). pp. 321-327. ISSN 0165-5701
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Identification Number or DOI: doi: 10.1007/s10792-012-9563-z
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.
|Item Type:||Article (Commonwealth Reporting Category C)|
|Additional Information:||Published Version restricted access in accordance with the copyright policy of the publisher (Springer)|
|Uncontrolled Keywords:||complications; contact lens; management|
|Fields of Research (FOR2008):||09 Engineering > 0903 Biomedical Engineering > 090304 Medical Devices|
11 Medical and Health Sciences > 1113 Ophthalmology and Optometry > 111301 Ophthalmology
11 Medical and Health Sciences > 1113 Ophthalmology and Optometry > 111303 Vision Science
|Socio-Economic Objective (SEO2008):||C Society > 92 Health > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920107 Hearing, Vision, Speech and Their Disorders|
|Deposited On:||05 Oct 2012 17:48|
|Last Modified:||10 Dec 2012 13:43|
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