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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Protein lens deposits

Deposits – Protein

Symptoms

  • Increased lens awareness
  • Itchiness - if develop CLPC due to presence of denatured protein

Signs

  • Uneven haziness on lens surface
  • Poor wetting
  • Palpebral conjunctival changes such as CLPC

Etiology

  • Sheets of denatured tear protein on lens surface
  • Occurs in predisposed individuals

Prevalence

  • Low levels are common

Differential Diagnosis

Management

  • Alter lens care regimen and encourage a rub and rinse step
  • Replace lenses and ensure patient is compliant with recommended lens replacement intervals
  • Switch to frequent replacement, daily disposable or GP lenses
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