First contact diagnosis and management of contact lens-related complications

Article


Fagan, Xavier J., Jhanji, Vishal, Constantinou, Marios, Islam, F. M. Amirul, 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. https://doi.org/10.1007/s10792-012-9563-z
Article Title

First contact diagnosis and management of contact lens-related complications

ERA Journal ID16276
Article CategoryArticle
AuthorsFagan, Xavier J. (Author), Jhanji, Vishal (Author), Constantinou, Marios (Author), Islam, F. M. Amirul (Author), Taylor, Hugh R. (Author) and Vajpayee, Rasik B. (Author)
Journal TitleInternational Ophthalmology
Journal Citation32 (4), pp. 321-327
Number of Pages7
Year2012
Place of PublicationDordrecht, Netherlands
ISSN0165-5701
1573-2630
Digital Object Identifier (DOI)https://doi.org/10.1007/s10792-012-9563-z
Web Address (URL)http://www.springerlink.com/content/k165544215252786/?MUD=MP
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.

Keywordscomplications; contact lens; management
ANZSRC Field of Research 2020400308. Medical devices
321201. Ophthalmology
321204. Vision science
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Byline AffiliationsRoyal Victorian Eye and Ear Hospital, Australia
University of Melbourne
Department of Mathematics and Computing
Institution of OriginUniversity of Southern Queensland
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