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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Conjunctival epithelial flap
Conjunctival epithelial flap

Conjunctival Staining

Lens edge-related staining

Symptoms

  • Often asymptomatic
  • Dryness

Signs

  • Lens edge’ stain
  • Best viewed with sodium fluorescein, cobalt blue filter, and yellow Wratten filter #12
  • Punctate or confluent staining

Etiology

  • Mechanical trauma of conjunctival epithelium, tight lens or excessive movement of loose lens
  • Indicative of surface disruption of the bulbar conjunctiva

Prevalence

  • Common

Differential Diagnosis

Management

  • May require no management
  • Limbal staining related to rough edges or tight fit of soft lenses. Consider changing lens design, fit or material
  • If symptoms of dryness are severe, treat as for dryness with re-wetting agents

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