3.8 Review

Allergic conjunctivitis in contact lens wearers: challenges and management recommendations

Journal

EXPERT REVIEW OF OPHTHALMOLOGY
Volume 17, Issue 2, Pages 123-128

Publisher

ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
DOI: 10.1080/17469899.2022.2067145

Keywords

Review; allergic conjunctivitis; contact lens; giant papillae

Categories

Funding

  1. Ministry of Education, Culture, Sports, Science and Technology of Japan [20H04347]
  2. Alcon Foundation
  3. Grants-in-Aid for Scientific Research [20H04347] Funding Source: KAKEN

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This review provides an update on our current understanding of the pathogenesis and treatment of giant papillary conjunctivitis (GPC).
Introduction: Giant papillary conjunctivitis (GPC), which is the most severe type of contact lens- induced (CL) papillary conjunctivitis (CLPC), is an inflammatory condition of the upper tarsal conjunctiva. Major symptoms of CLPC include irritation, pain, itching, and redness of the ocular surface. Area covered: This review provides an update on our current understanding of the pathogenesis and treatment of GPC. Expert opinion: GPC is most often associated with the use of non-disposable soft contact lenses (SCL), or soft hydrogel lenses, and infrequent CL replacement. Patients with GPC may require both temporary cessation of CL wear and treatment with medications such as topical mast cell stabilizers, antihistamines, non-steroidal anti-inflammatory agents, or steroids.

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