First contact diagnosis and management of contact lens-related complications
Article
Article Title | First contact diagnosis and management of contact lens-related complications |
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ERA Journal ID | 16276 |
Article Category | Article |
Authors | Fagan, Xavier J. (Author), Jhanji, Vishal (Author), Constantinou, Marios (Author), Islam, F. M. Amirul (Author), Taylor, Hugh R. (Author) and Vajpayee, Rasik B. (Author) |
Journal Title | International Ophthalmology |
Journal Citation | 32 (4), pp. 321-327 |
Number of Pages | 7 |
Year | 2012 |
Place of Publication | Dordrecht, Netherlands |
ISSN | 0165-5701 |
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. |
Keywords | complications; contact lens; management |
ANZSRC Field of Research 2020 | 400308. Medical devices |
321201. Ophthalmology | |
321204. Vision science | |
Public Notes | Files associated with this item cannot be displayed due to copyright restrictions. |
Byline Affiliations | Royal Victorian Eye and Ear Hospital, Australia |
University of Melbourne | |
Department of Mathematics and Computing | |
Institution of Origin | University of Southern Queensland |
https://research.usq.edu.au/item/q15yq/first-contact-diagnosis-and-management-of-contact-lens-related-complications
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