Fagan, Xavier J. and Jhanji, Vishal and Constantinou, Marios and Islam, F. M. Amirul 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
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.
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| Item Type: | Article (Commonwealth Reporting Category C) |
|---|---|
| Refereed: | Yes |
| Item Status: | Live Archive |
| Additional Information: | © Springer Science+Business Media B.V. 2012. Published Version restricted access in accordance with the copyright policy of the publisher. |
| Faculty/School / Institute/Centre: | Historic - Faculty of Sciences - Department of Maths and Computing (Up to 30 June 2013) |
| Faculty/School / Institute/Centre: | Historic - Faculty of Sciences - Department of Maths and Computing (Up to 30 June 2013) |
| Date Deposited: | 05 Oct 2012 07:48 |
| Last Modified: | 14 Oct 2014 06:46 |
| Uncontrolled Keywords: | complications; contact lens; management |
| Fields of Research (2008): | 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 Objectives (2008): | C Society > 92 Health > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920107 Hearing, Vision, Speech and Their Disorders |
| Identification Number or DOI: | 10.1007/s10792-012-9563-z |
| URI: | http://eprints.usq.edu.au/id/eprint/21519 |
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