Clinical manifestations secondary to soft contact lens wear.

Abstract

Patients were allowed to wear the lenses for the maximum tolerable times daily; care and disinfection of the lenses were as advised by the manufacturers. ResultsThe computer results were based on a data analysis collected over one year and the significance of the results determined by x2 fraction P < oo05. The details are shown in Tables I to VI. Of the 151 patients 76 had had previous experience with hard lenses and five of that group wore hard lenses successfully with good daily tolerance. Forty-eight gave a clear history of allergy and 30 had allergies affecting the skin. Forty women out of io6 were taking the contraceptive pill, representing 37-7 per cent (Table I).

Continuously Worn Soft Lenses in Aphakia

“…Stromal oedema is undoubtedly a complication of continuously worn lenses and along with others (Gould, 1977, Nesburn, 1978, Ruben (1976) described several cases of chronic stromal oedema as a result of intermittent wear of lenses. We accept that all our patients wearing this type of lens will have a chronic stromal oedema.…”

Epithelial microcysts

“…1 As will be outlined in this chapter, these authors were correct in surmising that 'Corneal microcysts are evidence of chronic changes in the … epithelium…'. This observation was confirmed in 1978 by Zantos and Holden 2 (who used the term 'microvesicles') in a report of a clinical trial and in 1979 by Josephson 3 in a published case report.…”

“…A number of authors have published estimates of the prevalence of a significant microcyst response in association with various types and modalities of lens wear; 1,4,[8][9][10][11][12][13][14][15][16][17] these estimates are summarized in Table 17.1. Bearing in mind the different methodologies, lens types and study durations employed by the various authors, the concordance of estimates of prevalence is good.…”

Ein Fall von totaler Hornhauteinschmelzung nach Tragen weicher Kontaktlinsen

“…1974, Epithetödem (Mandell et at. 1970, Ruben et al 1976, Mandell 1976, Limbushyperämien mit zum Teil tieferer Vaskularisation der Hornhaut (Ehrich 1979) sowie Erosionen der Hornhaut (Holtmann et at. 1978) ist mehrfach berichtet worden.…”