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Lid margin disease and CL wear

Dr Sheetal Patel describes a case study illustrating the important link between dry eye, lid margin disease (LMD) and contact lens success

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There is a common link between evaporative dry eyes and blepharitis - they very often coexist. A Spanish study showed that 50 per cent of subjects with dry eyes also had meibomian gland dysfunction.1,2

Up to half of all contact lens wearers report dry eye symptoms and chronic blepharitis is another cause of contact lens intolerance.3

Case study

The patient is a 38-year-old personal assistant who is a daily computer user. Her general health is good, she has no allergies and takes no medication.

She attended for a routine contact lens review. She was wearing conventional hydrogel daily disposable contact lenses with 'more moisture'. She wore lenses 3-4 days per week, for a maximum of four hours. They were worn mainly for social purposes and horse riding. The wearing time at the appointment was two hours.

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