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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LIPCOF

Lid Parallel Conjuctival Folds (LIPCOF)

Lid parallel conjunctival folds

Symptoms

  • Asymptomatic or may experience dryness and/or discomfort

Signs

  • Subclinical folds parallel to the upper and/or lower lid margin in the temporal and nasal areas of the bulbar conjunctiva

Etiology

  • Breakdown of elastic fibers in the loose conjunctiva
  • Tear deficiency and inflammation of the conjunctiva

Prevalence

  • Common in dry eye patients

Differential Diagnosis

  • Conjunctivochalasisis (an elevation of the bulbar conjunctiva lying along the central lower lid margin that results in redundant, excessive conjunctiva and can result in dry eye due to tear film instability)

Management

  • Consider rewetting drops, depending on symptoms
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