Treatment of superior limbic keratoconjunctivitis with a unilateral bandage contact lens

• Published in: British journal of ophthalmology Vol. 86; no. 4; pp. 485 - 486
• Main Authors: Watson, S, Tullo, A B, Carley, F
• Format: Journal Article
• Language: English
• Published: BMA House, Tavistock Square, London, WC1H 9JR BMJ Publishing Group Ltd 01.04.2002; BMJ Publishing Group LTD; Copyright 2002 British Journal of Ophthalmology
• Subjects: Adult; bandage contact lens; Bandages; Contact Lenses; Female; Humans; Hydrogels; Hyperthyroidism; Keratoconjunctivitis - therapy; Letter; limbic keratoconjunctivitis; Middle Aged; Patients; Production increases; Thyroid gland
• ISSN: 0007-1161; 1468-2079
• DOI: 10.1136/bjo.86.4.485

The patient may also have abnormal thyroid function. 2 SLK has been treated with silver nitrate or thermal cauterisation of the superior bulbar conjunctiva, pressure patching, and large diameter bandage contact lenses (BCL), topical trans-retinoic acid 0.1%, and recession or resection of the superior bulbar conjunctiva. 1, 9 In the first week of contact lens wear tear production increases dramatically and tear tonicity decreases. 8 Tear production then normalises and tear tonicity rises as evaporation increases. 8 A lens may then aid aqueous tear deficiency, which can accompany SLK, 4 by ensuring a continuous precorneal tear film. 7 It is difficult to be certain of the mechanism of bilateral symptom relief from unilateral BCL wear in SLK.