BACKGROUND Corneal infections due to contact lens contamination are risks associated with contact lens wear. Care systems which reduce these risks are desirable. METHODS This study evaluated a contact lens cleaning device using normal saline initially and then four contact lens solutions. RESULTS Using saline, six out of 10 tests resulted in complete removal of challenge organisms or showed...

PURPOSE To evaluate changes in anterior corneal topography and higher-order aberrations (HOA) after 14-days of rigid gas-permeable (RGP) contact lens (CL) wear in keratoconus subjects comparing two different fitting approaches. METHODS Thirty-one keratoconus subjects (50 eyes) without previous history of CL wear were recruited for the study. Subjects were randomly fitted to either an apical-t...

Recovery of corneal sensitivity was determined in hard contact lens wearers 2, 4, 6, 12, and 24 hr after removing the lenses. The extent of recovery was shown by the statistical similarity of the threshold values for the contact lens group and the thresholds of a group of subjects who had never worn contact lenses. Consideration of the time course of recovery and of the thermal modality of the ...

Complications in wearing contact lenses are very rare and caused by poor maintenance, over-extended wear and wearing of contact lenses in a polluted environment. Regular control by a professional person can efficiently reduce the number of complications. This paper describes the most common risks factors for complications, and complications of wearing contact lenses with the classification acco...

Contact lens extended wear increases the permeability of epithelium to sodium fluorescein (P(dc)). The exact mechanism is not known. However, changes in P(dc) likely result from either corneal hypoxia or mechanical trauma, or both. We explored the effects of one-night continuous wear with either high- or low-Dk/t soft lenses on P(dc). The results show that corneal epithelial barrier function de...

PURPOSE To quantitatively analyze laser scanning in vivo confocal microscopy (IVCM) images of all corneal layers in contact lens-wearing and noncontact lens-wearing keratoconus patients. METHODS The study population included rigid gas permeable (RGP) contact lens-wearing keratoconus patients (group 1; N = 29), keratoconus patients who did not wear contact lenses (group 2; N = 30), and subject...

● Tear film assessment should be undertaken with minimal invasion of the structure – non-invasive techniques should be used whenever possible ● Assessment must be made both prior to and during contact lens wear. Tear film quality should be assessed both with the lens in situ and without the lens ● Use of the Tearscope in clinical practice allows a more detailed examination of the tears to be un...