Dry eye or contact lens?

MC, a sprightly lady in her early 70s, attended the practice for a sight test and a contact lens refit. She had been using single vision rigid gas permeable lenses for 40 years and was getting tired of using her over-readers daily. She also needed to use her spectacles more often and wanted to ‘try something new.’

Initial Presentation

Assessment confirmed her moderately myopic distance vision correction (approximately -4.50DS in either eye with minimal cylindrical correction) and a presbyopic add. After some discussion, we agreed that she might start off by trying some daily multifocal contact lenses. Prior to fitting, I discovered that she had some dry eye signs as follows;