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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Sectoral hyperemia
Sectoral hyperemia

Hyperemia - Sectoral

Allergic or inflammatory reaction

Symptoms

  • Discomfort associated with primary cause

Signs

  • Localized region of hyperemia extending from limbus
  • Most often seen at 4 and 8 o’clock positions
  • Region of hyperemia may be adjacent to peripheral infiltrates

Etiology

  • Sectoral hyperemia usually adjacent to infiltrates
  • Can be associated with blepharitis and meibomian gland dysfunction, in which gram positive toxins can be taken up by the lens and result in an inflammatory complication

Prevalence

  • Rare

Differential Diagnosis

Management

  • Cease lens wear
  • Anti-inflammatory or anti-bacterials as necessary
  • Rewetting drops may help to flush away bacterial toxins if due to lid disease
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