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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Contact Lens Papillary Conjunctivitis
Giant Papillary Conjunctivitis

Video: Contact Lens Papillary Conjunctivitis (CLPC) - Severe (White Light)

Contact Lens Papillary Conjunctivitis (CLPC) - Severe (White Light)

Video: Contact Lens Papillary Conjunctivitis (CLPC) - Sodium Fluorescein Stain

Contact Lens Papillary Conjunctivitis (CLPC) - Sodium Fluorescein Stain

Contact Lens Papillary Conjunctivitis

CLPC, Giant Papillary Conjunctivitis (GPC), CLAPC, CLIPC, lid roughness

Symptoms

  • Intense Itching
  • Lens awareness
  • Blurred vision

Signs

  • Papillae, >1 mm diameter in GPC
  • Hyperemia of the palpebral conjunctiva
  • Increased lens movement
  • Mucus discharge
  • Protein deposits on lens surface

Etiology

  • Allergic, mechanical, or combination reaction of superior conjunctival tarsal plate
  • More common in soft than GP lens wear
  • Can be related to solution sensitivity to preservatives

Prevalence

  • Infrequent with disposable/frequently replaced lens materials
  • More common with stiffer lens materials

Differential Diagnosis

Management

  • Cease lens wear until inflammation subsides
  • Refit with DD or GP lenses or alternative soft lens materials
  • Reduce wearing time
  • Antihistamine + mast cell stabilizer combination or steroid therapy
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