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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Corneal staining – superficial punctate
Corneal staining – superficial punctate

Video: Inferior Superficial Punctate Keratopathy - Fluorescein Stain

Inferior Superficial Punctate Keratopathy - Fluorescein Stain

Staining – Superficial Punctuate

Generalized, non-specific staining

Symptoms

  • Usually asymptomatic
  • If symptoms present these may include CL discomfort, reduced wear time, dryness

Signs

  • Punctate disruption of the corneal epithelium (Superficial punctate corneal fluorescein staining)

Etiology

  • Indicates mild to moderate disruption of the epithelial surface (damaged cells)
  • Variety of causes, including over wear, dryness and many other causes

Prevalence

  • Common

Differential Diagnosis

Management

  • Remove lens; leave out for the rest of the day (or longer, depending on severity). Add rewetting drops if symptoms present
  • Reduce wearing time or prescribe new lenses to avoid effect of deposits.
  • Changing solutions or changing to daily disposables can also be considered
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