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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Vascularized Limbal Keratitis (VLK)
Vascularized Limbal Keratitis (VLK)

Vascularized Limbal Keratitis (VLK)

Symptoms

  • Patient may notice red area at limbus
  • Slight stinging or irritation may be reported

Signs

  • Superficial vascularized lesion of the corneal periphery at the 3 and/or 9 o’clock locations
  • Wing shaped, raised lesion encroaching the cornea from the bulbar conjunctiva

Etiology

  • Sequellae to chronic inflammation in GP wearers
  • Inadequate tear film and wetting result in punctate epithelial keratopathy

Prevalence

  • Rare

Differential Diagnosis

Management

  • Eliminate 3 and 9 o'clock staining through modification of the GP design
  • Change to soft lenses, daily disposable or SiHy
  • Use rewetting drops or reduce wearing time

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