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    6 - Contact Lens Care

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    black00swan
    Soft contact lenses are prone to deposition of various substances over time. Protein deposits, which appear as white films, originate from tears and begin forming immediately after lens application. Lipid deposits have a smeared, greasy appearance and come from meibomian glands. Microorganisms like fungi can also grow in lenses, appearing as gray, black, brown or white growths. To manage deposits, practitioners may recommend daily disposable lenses, enzymatic cleaners, switching to a silicone hydrogel material, or ensuring proper disinfection and hygiene.

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    6 - Contact Lens Care

    Uploaded by

    black00swan
    15 views2 pages
    Soft contact lenses are prone to deposition of various substances over time. Protein deposits, which appear as white films, originate from tears and begin forming immediately after lens application. Lipid deposits have a smeared, greasy appearance and come from meibomian glands. Microorganisms like fungi can also grow in lenses, appearing as gray, black, brown or white growths. To manage deposits, practitioners may recommend daily disposable lenses, enzymatic cleaners, switching to a silicone hydrogel material, or ensuring proper disinfection and hygiene.

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    Contact Lens Care

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    Soft contact lenses are prone to deposition of various substances over time. Protein deposits, which appear as white films, originate from tears and begin forming immediately after lens application. Lipid deposits have a smeared, greasy appearance and come from meibomian glands. Microorganisms like fungi can also grow in lenses, appearing as gray, black, brown or white growths. To manage deposits, practitioners may recommend daily disposable lenses, enzymatic cleaners, switching to a silicone hydrogel material, or ensuring proper disinfection and hygiene.

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    15 views2 pages

    6 - Contact Lens Care

    Uploaded by

    black00swan
    Soft contact lenses are prone to deposition of various substances over time. Protein deposits, which appear as white films, originate from tears and begin forming immediately after lens application. Lipid deposits have a smeared, greasy appearance and come from meibomian glands. Microorganisms like fungi can also grow in lenses, appearing as gray, black, brown or white growths. To manage deposits, practitioners may recommend daily disposable lenses, enzymatic cleaners, switching to a silicone hydrogel material, or ensuring proper disinfection and hygiene.

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    ArticleDate:2/1/2006

    contactlenscare

    SoftContactLensDepositionPartI
    BYSUSANJ.GROMACKI,OD,MS,FAAO
    Softlenscomplicationsareoftenaresultofcontactlens
    deposition.Theuseofdisposablelensesespeciallydaily
    andtwoweekreplacementmodalitieshashelpedin
    decreasingdepositionandtheproblemsassociatedwithit.
    Whenusingyearlyorthreemonthreplacementmodalities,
    however,patientsmustperformproperlenscaretoprovide
    acleanlenssurface.Hydrogellensesdepositsecondaryto
    theirhydrophilicsurface,patienttearfilm,environmentand
    lenshandling.Herearesomecommontypesofsoftcontact
    lensdepositsandhowtomanagethem.
    ProteinDeposits
    Figure1.Lipiddepositiononasoft
    contactlens.PhotoscourtesyofDr.
    RonWatanabe.

    Oneofthemorecommondeposits,proteindeposits
    originateprimarilyfromalbumin,globulinandlysozymein
    thetears.Aproteindeposithasanopaque,whitefilmy
    appearanceandmayhavecrackswhenthefilmisthick.It's
    foundprimarilyonthefrontsurfaceofsoftcontactlensesandonbothsurfacesofGPlenses.
    Depositionbeginsimmediatelyafterlensapplication.Thedepositsmaybindsolution
    preservatives.Proteindepositionismostcommoninhighwatercontenthydrogels,followedby
    lowwatercontentHEMAmaterials.Siliconehydrogelstendtoaccumulateproteintheleast.
    Practitionersshoulddirectpatientspronetoheavyproteindepositiontodailydisposables.Ifthis
    can'tbedone,recommendanenzymaticcleaneronceeachweekormore.Extendedwear
    patientsshouldswitchtodailywear.It'salsohelpfultorefitintoamoreproteindepositresistant
    materialsuchassiliconehydrogel.
    LipidDeposits
    Lipiddepositionhasasmeared,greasywhitishappearance(Figure1).Thelipidarisesfromthe
    meibomianglandsofthelids.Patientsmorepronetodepositionincludethosewithtearfilm
    potassiumdeficiency,dryeye,highfatdietsandhighalcoholconsumption.Siliconehydrogel
    materialstendtoaccumulatemorelipidsthansomeconventionalmaterials.Management
    includesthoroughlyrubbingorrinsinglenseswithsolutionusinganalcoholbaseddailycleaner,
    whichdissolveslipidsand/orusinglenseswithatwoweekorlessreplacementschedule.
    Microorganisms
    Thesearegray,black,brownorwhitegrowthsinthelens
    matrix.Microorganismsareusuallyfungioryeastand
    appearinafilamentarypattern(Figure2).They'recommon
    inpatientswhoneglectdailydisinfectionorwhousenon
    preservedsaline,highwatercontentlensesand/orlenses
    dam
    agedordepositedwithprotein.
    Lensescontaminatedwithmicroorganismsneedtobe
    replaced.Carefulpatientinstruct
    ionisnecessaryregardinggoodpersonalhygieneand
    properdailydisinfection.It'salsoimportanttoavoid
    prolongedlensstoragewithoutdisinfectinglenses.

    Figure2.Closeupofafungus
    imbeddedinasoftcontactlens.

    Dr.Gromackihasservedasafacultymemberatthe
    UniversityofMichiganDepartmentofOphthalmologyandVisualSciences.

    ContactLensSpectrum,Issue:February2006

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