CLEAR - Evidence-based contact lens practice

James S Wolffsohn; Kathy Dumbleton; Byki Huntjens; Himal Kandel; Shizuka Koh; Carolina M E Kunnen; Manbir Nagra; Heiko Pult; Anna L Sulley; Marta Vianya-Estopa; Karen Walsh; Stephanie Wong; Fiona Stapleton

doi:10.1016/j.clae.2021.02.008

CLEAR - Evidence-based contact lens practice

Cont Lens Anterior Eye. 2021 Apr;44(2):368-397. doi: 10.1016/j.clae.2021.02.008. Epub 2021 Mar 25.

Authors

Affiliations

¹ Optometry & Vision Science, Aston University, Birmingham, UK. Electronic address: [email protected].
² School of Optometry, University of California, Berkeley, CA, USA.
³ Division of Optometry and Visual Sciences at City, University of London, London, UK.
⁴ Save Sight Institute, Sydney Medical School, The University of Sydney, Sydney, Australia.
⁵ Department of Innovative Visual Science, Osaka University Graduate School of Medicine, Japan.
⁶ Alcon, Fort Worth, TX, USA.
⁷ Vision and Eye Research Institute, ARU, Cambridge, UK.
⁸ Optometry and Vision Research, Weinheim, Germany.
⁹ CooperVision, Inc. Farnham, UK.
¹⁰ Department of Vision and Hearing Sciences Research Centre, Anglia Ruskin University, Cambridge, UK.
¹¹ Centre for Ocular Research & Education, School of Optometry & Vision Science, University of Waterloo, Waterloo, Canada.
¹² School of Optometry and Vision Science, UNSW Sydney, Australia.

PMID: 33775383
DOI: 10.1016/j.clae.2021.02.008

Abstract

Evidence-based contact lens -->practice involves finding, appraising and applying research findings as the basis for patient management decisions. These decisions should be informed by the strength of the research study designs that address the question, as well as by the experience of the practitioner and the preferences and environment of the patient. This reports reviews and summarises the published research evidence that is available to inform soft and rigid contact lens history and symptoms taking, anterior eye health examination (including the optimised use of ophthalmic dyes, grading scales, imaging techniques and lid eversion), considerations for contact lens selection (including the ocular surface measurements required to select the most appropriate lens parameter, lens modality and material selection), evaluation of lens fit, prescribing (teaching self-application and removal, adaptation, care regimen and cleaning instructions, as well as -->minimising risks of lens wear through encouraging compliance) and an aftercare routine.

Keywords: Contact Lens Evidence-based Academic Reports (CLEAR); Contact lenses; Evidence-based medicine; Evidence-based practice.

MeSH terms

Aftercare
Contact Lenses*
Contact Lenses, Hydrophilic*
Humans
Patient Compliance
Vision, Ocular