A Guide to Clinical Contact Lens Management

Signs, Symptoms, Diagnosis and Management

Academy for Eyecare Excellence™
IN COOPERATION WITH
Centre for Contact Lens Research
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Calculi lens deposits

Video: Blepharitis - Chronic with Mild Madarosis

Blepharitis - Chronic with Mild Madarosis

Video: Blepharitis - Seborrhoeic Anterior with Demodex Sleeving

Blepharitis - Seborrhoeic Anterior with Demodex Sleeving

Blepharitis

Staphylococcal or seborrhoeic anterior blepharitis

Symptoms

  • None to itchiness and lens intolerance
  • Burning, Foreign body sensation
  • Dryness

Signs

  • Hyperemia / inflammation of the lids and/or margins
  • Matting or flakes around base of lashes
  • Telangiectasis
  • Madarosis (loss of lashes)
  • Cornea may stain or be infiltrated, particularly around 4 and 8 o’clock positions

Etiology

  • Most commonly caused by chronic staphylococcal infection around the base of the lashes
  • Corneal reaction to staph exotoxins is a possible complication

Prevalence

  • Common

Differential Diagnosis

Management

  • Lid therapy. For example, hygiene, heat and gentle massage twice daily
  • Eliminate/control before commencing lens wear
  • Antimicrobial topical therapy
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Alcon Vision Care is uniquely poised to serve every contact lens wearer by addressing the full life cycle of their needs.