The conjunctival response to soft contact lens wear: A practical guide

A description of changes and how to manage them.

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Introduction

This paper provides an overview of what is known about how the conjunctiva responds to soft contact lens wear, describing changes such as hyperaemia, staining, indentation, epithelial flaps, lid parallel conjunctival folds, papillary conjunctivitis and lid wiper epitheliopathy. In addition suggestions are offered on how to optimise the observation and grading of these changes, and, where appropriate, options for management.

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