A Guide to Clinical Contact Lens Management

Signs, Symptoms, Diagnosis and Management

Academy for Eyecare Excellence™
IN COOPERATION WITH
Centre for Contact Lens Research
Home
Cornea
Limbus
Conjunctiva
Lid
Contact Lens
 
Signs
Symptoms
Contact Us
Click on images to view enlargement
CL-SLK

Contact Lens-Related Superior Limbic Keratoconjunctivitis (CL-SLK)

Symptoms

  • Stinging or burning at time of lens insertion
  • Lens awareness, itching

Signs

  • Superior limbic redness
  • Superior bulbar conjunctival chemosis
  • Vascular pannus
  • Superior corneal staining and infiltrates
  • Bilateral epithelial keratinisation

Etiology

  • Inflammatory reaction of cornea in superior limbic region
  • Historically occurred with solutions containing thimerosal
  • May occur in response to hypoxia, or as an allergic reaction
  • Bilateral presentation (but may be asymmetric)

Prevalence

  • Rare

Differential Diagnosis

Management

  • Use solutions without added preservatives, e.g. hydrogen peroxide
  • Change to an alternative multipurpose solution
  • Reduce wearing time
  • Change to daily disposable
  • Rewetting Drops, and/or NSAIDs

Alcon Vision Care is uniquely poised to serve every contact lens wearer by addressing the full life cycle of their needs.