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Case studies in contact lenses

Lenses
In the latest in our quarterly series of contact lens problem solving, Nisha Jeyaseelan describes how corneal health in a compromised eye can be restored by refitting into a SiH daily disposable lens

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A 22-year-old female university student wearing Proclear 1 Day (omafilcon A) lenses on a full-time daily wear basis was referred by an optometric colleague for therapeutic management of contact lens-induced red eyes. The patient had been wearing her lenses for approximately 16 hours per day over a 14-month period. She presented with a two-week onset of increasing ocular discomfort, redness, mild photophobia and tearing. These symptoms were reported to be getting significantly worse but she had continued to over-wear her hydrogel daily disposables because she disliked wearing spectacles and found contact lenses were far more convenient for her lifestyle. Her previous practitioner had recently noted an increase in myopia of -0.75D bilaterally over a five-month period.

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