CLEAR – Medical use of contact lenses

Abstract

The medical use of contact lenses is a solution for many complex ocular conditions, including high refractive error, irregular astigmatism, primary and secondary corneal ectasia, disfiguring disease, and ocular surface disease. The development of highly oxygen permeable soft and rigid materials has extended the suitability of contact lenses for such applications. There is consistent evidence that bandage soft contact lenses, particularly silicone hydrogel lenses, improve epithelial healing and reduce pain in persistent epithelial defects, after trauma or surgery, and in corneal dystrophies. Drug delivery applications of contact lens hold promise for improving topical therapy. Modern scleral lens practice has achieved great success for both visual rehabilitation and therapeutic applications, including those requiring retention of a tear reservoir or protection from an adverse environment. This report offers a practical and relevant summary of the current evidence for the medical use of contact lenses for all eye care professionals including optometrists, ophthalmologists, opticians, and orthoptists. Topics covered include indications for use in both acute and chronic conditions, lens selection, patient selection, wear and care regimens, and recommended aftercare schedules. Prevention, presentation, and management of complications of medical use are reviewed.

Publication DOI: https://doi.org/10.1016/j.clae.2021.02.002
Divisions: College of Health & Life Sciences > School of Optometry > Optometry
College of Health & Life Sciences > School of Optometry > Optometry & Vision Science Research Group (OVSRG)
College of Health & Life Sciences
Additional Information: © 2021, Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/
Uncontrolled Keywords: Aphakia,Bandage lens,Irregular astigmatism,Ocular surface disease,Scleral lens,Therapeutic contact lens,Ophthalmology,Optometry
Full Text Link:
Related URLs: https://www.sci ... 367048421000163 (Publisher URL)
http://www.scop ... tnerID=8YFLogxK (Scopus URL)
PURE Output Type: Article
Published Date: 2021-04-01
Published Online Date: 2021-03-25
Accepted Date: 2021-03-01
Authors: Jacobs, Deborah S.
Carrasquillo, Karen G
Cottrell, Paul D
Gil-Cazorla, Raquel (ORCID Profile 0000-0003-0855-8554)
Fernandez-Velazquez, Fernando J
Jalbert, Isabella
Pucker, Andrew D
Riccobono, Kellen
Robertson, Danielle M
Szczotka-Flynn, Loretta
Speedwell, Lynne
Stapleton, Fiona

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Version: Accepted Version

Access Restriction: Restricted to Repository staff only until 25 March 2022.

License: Creative Commons Attribution Non-commercial No Derivatives


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