First contact diagnosis and management of contact lens-related complications

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


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.

Statistics for USQ ePrint 21519
Statistics for this ePrint Item
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 / Department / School: Historic - Faculty of Sciences - Department of Maths and Computing
Date Deposited: 05 Oct 2012 07:48
Last Modified: 14 Oct 2014 06:46
Uncontrolled Keywords: complications; contact lens; management
Fields of Research : 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: 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

Actions (login required)

View Item Archive Repository Staff Only