Contact Lens Strategies for the Patient with Dry Eye

Sindt, Christine W.; Longmuir, Reid

doi:10.1016/s1542-0124(12)70095-2

Cited by 44 publications

(29 citation statements)

References 71 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Unfortunately, the predictive values of both questionnaires were low. However, both can assist in guiding patientsÕ history, but considering additional objective criteria like tear volume, tear film stability, and ocular surface signs might strengthen dry eye diagnoses in contact lens wear (Mainstone et al, 1996;Korb et al, 2002;Glasson et al, 2003;Sindt and Longmuir, 2007;Berry et al, 2008;Pult et al, 2008). Possible improvement by use of other questionnaires like the OSDI, CLDEQ or the IDEEL questionnaire should be investigated in future studies.…”

Section: Discussionmentioning

confidence: 99%

The effectiveness of questionnaires in the determination of Contact Lens Induced Dry Eye

Michel¹,

Sickenberger²,

Pult³

2009

Ophthalmic Physiologic Optic

View full text Add to dashboard Cite

Purpose: This study investigates how well the recently introduced Ocular Comfort Index (OCI) and the more established McMonnies Dry Eye Index are able to detect contact lens induced dry eye (CLIDE). Methods: Seventy volunteer contact lens wearers (mean age = 28.7 ± 8.0; 52 female, 18 male) were grouped as CLIDE positive or CLIDE negative depending on three sets of criteria: Method I: objective (tear meniscus height, lid parallel conjunctival folds, phenol red thread test and tear breakup time); Method II: objective and/or subjective [contact lens dry eye questionnaire (CLDEQ)] (i.

show abstract

Section: Discussionmentioning

confidence: 99%

The effectiveness of questionnaires in the determination of Contact Lens Induced Dry Eye

Michel¹,

Sickenberger²,

Pult³

2009

Ophthalmic Physiologic Optic

View full text Add to dashboard Cite

show abstract

“…However, lens fitting can be a problem in eyes with significant symblepharon, and compliance is particularly poor in these cicatricial diseases. The long-term use of bandage contact lenses and scleral lenses is not without complications, especially in eyes with sicca [15]. Thus, a frequently favored option is a surgical attempt to improve cicatricial eye diseases if the underlying pathophysiological process is controlled.…”

Section: Indicationsmentioning

confidence: 99%

Oral Mucosal Grafts: Old Technique in New Light

2013

View full text Add to dashboard Cite

Purpose: To present an update on indications and efficacy of oral mucosal grafts in the clinical management of ocular surface diseases focusing on the new developments of the last 5 years. Methods: Pubmed research on the databases of the years 2007 up to 2012 for the key words mucous membrane graft and eye, fornix reconstruction, eyelid reconstruction, and conjunctival replacement. Results: Well-documented clinical indications for oral mucosal grafting to the ocular surface include correction of restricted socket syndrome, ocular adnexal reconstruction after tumor resection, cicatricial ocular surface diseases and therapy-refractory pterygia. New indications are conjunctival insufficiency after filtrating glaucoma surgery and the combination of mucosa and amniotic membrane grafting for fornix reconstruction. Moreover, different strategies for ex vivo mucous epithelial cell expansion are under discussion. Conclusions: Oral mucosal grafting is a viable option for the replacement of the conjunctiva. Advantages include easily accessibility of grafts in sufficient size even for repeated procedures and a high stability of the grafts. On the other hand, nasal mucosal grafts are superior for some indications due to the lack of goblet cells in the oral mucosa.

show abstract

“…In those patients whose visual needs can be satisfied with soft contact lenses, the use of daily disposable lenses is likely to minimize this problem. Although there is evidence that certain lenses tend to exhibit less deposit formation than others, individual responses are quite variable [8 ].…”

Section: Management Of Contact Lens Wear In Patients With Ocular Allergymentioning

confidence: 99%

“…They are fitted to vault the corneal surface and thus provide a clear space behind the lens with the weight of the lens being borne on the sclera. They have been shown to be very effective in maintaining an intact ocular surface in chronic ocular surface disease such as filamentary keratitis, mucin-deficient states, for example, ocular pemphigoid, erythema multiforme and chemical burns and persistent epithelial defects seen in neurotrophic keratopathy and trichiasis [8 ]. Their fitting is, however, thought to be highly specialized and availability of large lenses required for effective management is limited.…”

Section: The Use Of Therapeutic Bandage Contact Lenses In Severe Oculmentioning

confidence: 99%