Page 27 - Envision-11-2022

Making Contact

“ It is possible that their respective symptoms CLINICAL RELEVANCE

overlap and make a concurrent contribution
to dissatisfaction with contact lenses. “ Symptoms associated with BVDs and with dry eyes can be
similar. It is possible that their respective symptoms overlap
and make a concurrent contribution to dissatisfaction with
contact lenses. This study suggests that BVD can contribute to
contact lens dropout independent of CLD.
belief that symptoms from BVD are independent of CLD.
Furthermore, there was a low correlation between the It may not be only the lens design/modality/solution,
CLDEQ-8 and the CISS, which suggests CLD and BVD compromised ocular surface, fitting/management strategies,
symptoms are independent of each other in terms of contact patient motivation/expectation or lack of education that
lens dissatisfaction. leads patients to discontinue their contact lens wear. Eyecare
practitioners are encouraged to add basic screening for BVD

It was determined that the CLDEQ-8 and CISS had moderate as a differential diagnosis for all contact lens patients because

correlations with the OSDI, which means the OSDI is a their dry eye symptoms and the presence or absence of clinical
suitable measure of contact lens dissatisfaction arising from signs of dry eyes may actually masquerade as a BVD.
both CLD and BVDs.
Without investigating BVD carefully, you won’t know whether
Participants categorized as having CLD had significantly you can offer your patients a satisfactory solution to their
shorter periods of comfort, a higher proportion of meibomian problems. Avoiding unnecessary dry eye treatments can
gland dysfunction, and shorter fluorescein tear breakup help to keep contact lens patients from dropping out. And by
time. This means the higher OSDI scores in this group are addressing and treating the undiagnosed BVD with glasses
attributable to CLD with reduced compatibility between the and/or vision therapy, you can help them to attain single, clear,
lens and the ocular environment as defined by the TFOS comfortable vision that can significantly improve and even
Society. transform their lives. l
E
Study Details
1. PUCKER, AD, TICHENOR, AA. “A Review of Contact Lens Dropout”, Clin Optima (Auckl), vol. 12, 2020, p. 85-94. Published online 2020 Jun 25. doi: 10.2147/OPTO.S198637
2. TILIA, D, BAKARAJU, RC, ASPER LJ, PAPAS, EB. “Association between binocular vision disorders and contact lens dissatisfaction”, Optima Vis Sci vol 98 no 10, 2021, p. 1160-8

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