Contact lens series – Part 1: Risk factors for contact lens wear complications

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In contact lens (CL) wear rates of complications are relatively small. When they do occur, complications associated with CLs vary from mild to severe, sight-threatening conditions and may occur with any CL type and wearing regimen. CL wear may alter corneal physiology, giving rise to epithelial, stromal and endothelial changes. Other complications may include lens deposition, allergic conjunctivitis, giant papillary conjunctivitis, peripheral infiltrates, neovascularisation and microbial keratitis, to name a few examples. In this article, the risk factors for CL related complications are discussed.This article will provide guidance on those patients most at risk of developing exotropia, the differential diagnoses of the types of exotropia and the most effective treatment and management guidelines for each type of exotropia described.....

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