Contact Lenses Overview
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Questions and Answers

What is a primary cosmetic benefit of wearing contact lenses?

  • They are cheaper than glasses.
  • They are always easy to clean.
  • They do not fog up. (correct)
  • They provide better vision than glasses.
  • What is a significant disadvantage of wearing contact lenses compared to glasses?

  • They are more comfortable to wear.
  • They require carrying cleaning solutions. (correct)
  • They offer wider vision correction.
  • They come in only one type of material.
  • Which condition can be better corrected with hard contact lenses than with soft lenses?

  • Myopia
  • Keratoconus (correct)
  • Short-sightedness
  • High astigmatism
  • Why are soft contact lenses often preferred for sports?

    <p>They conform closely to the corneal surface. (A)</p> Signup and view all the answers

    What is a common allergic response related to contact lenses?

    <p>Sequestration of allergens within the lens (A)</p> Signup and view all the answers

    What is a requirement for using hard contact lenses?

    <p>They need a similar wearing schedule each day. (A)</p> Signup and view all the answers

    What is the main reason some people prefer contact lenses over glasses?

    <p>Do not obstruct peripheral vision. (D)</p> Signup and view all the answers

    Which statement accurately describes the properties of soft contact lenses?

    <p>They have a high water content and are easier to adapt to. (D)</p> Signup and view all the answers

    What is the recommended action for a patient with corneal abrasions due to contact lens use?

    <p>Leave the lenses out for 24 hours to allow healing (B)</p> Signup and view all the answers

    Which of the following symptoms may indicate a corneal infection in a contact lens wearer?

    <p>Decreased vision and marked redness (C)</p> Signup and view all the answers

    What condition is most commonly associated with improperly made saline solutions for contact lenses?

    <p>Acanthamoebic keratitis (A)</p> Signup and view all the answers

    Which type of tear supplement is particularly recommended for patients with dry eyes who wear contact lenses?

    <p>Low viscosity tear supplements (D)</p> Signup and view all the answers

    What action should be suggested to patients experiencing hypersensitivity reactions to contact lens solutions?

    <p>Rinse off solutions more thoroughly or try a new cleaning regime (D)</p> Signup and view all the answers

    What should contact lens wearers do if they experience significant redness in their eyes?

    <p>Consult an optometrist or ophthalmologist for evaluation (A)</p> Signup and view all the answers

    Which of the following is NOT a recommended practice for preventing corneal abrasions?

    <p>Using tap water to rinse contact lenses (B)</p> Signup and view all the answers

    What is a common symptom of dry eye in contact lens wearers?

    <p>Irritating dryness and discomfort (A)</p> Signup and view all the answers

    What is the first step after assessing the patient's pain and distress due to a displaced contact lens?

    <p>Wash your hands and instil a drop of local anaesthetic (D)</p> Signup and view all the answers

    What common misconception might patients have regarding their contact lens?

    <p>The lens can float behind the eye (B)</p> Signup and view all the answers

    If the contact lens is found beneath the upper eyelid, what should the healthcare provider instruct the patient to do?

    <p>Look down and nasalward (A)</p> Signup and view all the answers

    Why is it suggested to dry your finger on a clean gauze pad during lens repositioning attempts?

    <p>To increase friction and grip (B)</p> Signup and view all the answers

    What should be done after successfully repositioning the contact lens?

    <p>Instruct the patient to remove the lens (C)</p> Signup and view all the answers

    What tool can be used to help locate a displaced contact lens?

    <p>A torch or ophthalmoscope (A)</p> Signup and view all the answers

    What is the typical location of a displaced contact lens?

    <p>Underneath the top eyelid or laterally (D)</p> Signup and view all the answers

    How long does the cornea typically need to heal after contact lens manipulation?

    <p>24 hours (D)</p> Signup and view all the answers

    What should be done if a vacuum develops beneath a contact lens?

    <p>Instill local anesthetic to remove the lens. (D)</p> Signup and view all the answers

    What symptom indicates that a patient has experienced acute overwear of contact lenses?

    <p>Severe pain upon waking. (A)</p> Signup and view all the answers

    If a hard contact lens breaks, what is the recommended initial action?

    <p>Remove visible pieces and refer to an optometrist. (D)</p> Signup and view all the answers

    What is a potential consequence of instilling fluorescein into an eye with an in-situ contact lens?

    <p>It can cause the lens to absorb the dye and become unusable. (A)</p> Signup and view all the answers

    What palliative treatments are reasonable after removing lenses following acute overwear?

    <p>Instilling a cycloplegic like cyclopentolate 1% and ophthalmic ointment. (B)</p> Signup and view all the answers

    Why might padding be of little use for a patient experiencing pain from acute overwear?

    <p>The corneal epithelium is usually intact. (A)</p> Signup and view all the answers

    What is a suitable temporary storage method for contact lenses when needed?

    <p>Use a specimen pottle with saline. (A)</p> Signup and view all the answers

    What could be an indicator that someone has not been able to remove their contact lenses due to pain?

    <p>They arrive at clinics for immediate assistance. (A)</p> Signup and view all the answers

    Flashcards

    Why choose contact lenses?

    Contact lenses offer a variety of benefits over glasses, including improved vision in certain conditions, enhanced comfort for activities like sports, and greater ease of use in wet environments. Additionally, they provide a more aesthetically pleasing appearance compared to glasses.

    What are hard contact lenses?

    Hard contact lenses are rigid and oxygen-permeable, offering correction for a wider range of refractive errors, including keratoconus and corneal scarring. Despite their effectiveness, they require adaptation, consistent wear schedules, and are less suitable for contact sports due to their brittleness.

    What are soft contact lenses?

    Soft contact lenses are designed for ease of use and offer a more flexible wearing schedule, making them popular for daily wear and activities like sports. They adapt readily to the eye and are useful for cosmetic purposes. However, they are less effective in correcting certain refractive errors and can lead to allergic reactions.

    What are common contact lens problems?

    Contact lens problems can arise from improper wear, hygiene, or lens-related issues. These problems can range from minor irritation and discomfort to corneal abrasions, infections, and even vision loss. Addressing these issues is crucial for maintaining eye health and preventing complications.

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    How to manage contact lens problems?

    Managing contact lens problems requires careful assessment and prompt action. Treatment options include addressing immediate discomfort, cleaning and disinfecting lenses, replacing damaged lenses, and, in severe cases, temporary cessation of lens wear.

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    Key takeaways about contact lenses

    Contact lenses are an effective and versatile vision correction tool. However, proper care, hygiene, and understanding of potential complications are crucial for maintaining eye health and comfortable lens wear. Consulting a healthcare professional is essential for any concerns or changes in vision.

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    Corneal Abrasion

    A scratch on the cornea, often caused by contact lenses during insertion or removal.

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    Dry Eyes and Contact Lenses

    A common problem for contact lens wearers, often exacerbated by dry environments like air-conditioned spaces.

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    Corneal Infection

    A bacterial or fungal infection of the cornea, often linked to improper contact lens hygiene.

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    Acanthamoeba Keratitis

    A rare but serious corneal infection caused by a microbe that thrives in homemade saline solutions or tap water.

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    Contact Lens Displacement

    A condition where a contact lens moves away from its intended position on the eye.

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    Contact Lens Hypersensitivity

    A common reaction where contact lens wearers experience irritation and redness shortly after inserting lenses.

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    Dry Eye

    A condition where the eye's natural ability to produce tears is compromised.

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    Red Eye in Contact Lens Wearers

    Red eye, a common symptom, may indicate a multitude of issues in contact lens wearers.

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    Contact lens decentration

    Contact lenses sometimes shift position on the eye, even becoming displaced entirely.

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    Where to find a displaced lens

    Displaced lenses are usually found tucked under the upper eyelid or at the side of the eye.

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    Repositioning a displaced lens

    The patient should look away from the lens, allowing you to stabilize it with your finger while they slowly rotate their eye.

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    Lens stabilization

    Gently press on the lens with your finger to keep it in place.

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    Lens re-centering

    The cornea and sclera have different curvatures, so the lens will naturally center once it's back on the cornea.

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    Repositioning tips

    Repeated attempts and drying your finger between attempts can help.

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    Epithelial abrasions

    A common outcome of maneuvering a displaced lens, but heals quickly.

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    Healing time

    Allow 24 hours for the cornea to heal after repositioning a lens.

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    Stuck Contact Lens

    A condition where a contact lens becomes stuck to the eye due to a vacuum forming beneath it.

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    Acute Contact Lens Overwear

    When a contact lens wearer experiences pain and discomfort after leaving their lenses in for too long, often caused by lack of oxygen to the cornea.

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    Broken Hard Contact Lens

    A situation where a hard contact lens breaks, potentially causing corneal damage due to sharp fragments.

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    Fluorescein and Contact Lenses

    Never instilling fluorescein dye into the eye with a contact lens in place, as it can permanently stain the lens.

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    Proper Contact Lens Storage

    The proper way to store contact lenses temporarily, using a specimen pottle with saline solution.

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    Removing a Stuck Contact Lens

    A method to remove a stuck contact lens by gently pushing the lid margin backwards onto the lens to break the vacuum.

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    Pain in Acute Contact Lens Overwear

    Pain resulting from corneal edema due to lack of oxygen, often associated with acute overwear.

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    Handling a Broken Hard Lens

    The removal of a broken contact lens, followed by referral to an optometrist or ophthalmologist for further evaluation.

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    Study Notes

    Contact Lenses

    • Contact lenses are worn for cosmetic or optical benefits
    • They are useful in wet environments and sports
    • Disadvantages include cost and inconvenience (cleaning solutions, replacement costs)
    • Two types: hard and soft
      • Hard lenses are rigid, gas-permeable, replace corneal surface, more difficult to adapt to
      • Soft lenses are flexible, high water content, easier to adapt to, may not provide as clear vision
    • Corneal abrasions can occur during insertion/removal or trauma; treat with antibiotic ointment, cycloplegic, and/or eye pad, remove lenses for 24 hrs
    • Red eye: Contact lens wearers are more prone to red eye, but red eye issues can originate from other sources.
      • If corneal infection suspected, (like decreased vision, marked redness, white/cloudy areas), refer immediately
    • Dry eyes: Contact lenses can exacerbate dry eye; use tear supplements (Tears Plus™, Poly-Tears™, Tears Naturale™, Refresh™) as needed.
    • Itchy eyes: Hypersensitivity reactions to contact lens solutions are possible; ensure thorough rinsing or try a new cleaning regime.
    • Lens Displacement:
      • Most lenses become dislodged; reassure patient and use local anesthetic to examine and reposition the lens
      • Inspect for lens displacement and locate lost lens.
      • Use a torch and ask patient to look in different directions to move lens back into position.
    • Stuck Lenses:
      • Difficulty removing lenses; vacuum beneath lens develops
      • Try pushing gently on lens edge or using a surgical instrument
    • Acute Overwear:
      • Leaving lenses in overnight (or longer) causes corneal hypoxia and edema; severe pain, refer to ophthalmologist
    • Broken lenses:
      • Remove shards; refer to optometrist/ ophthalmologist

    Tips

    • Do not use fluorescein with lenses in place (some lenses stain)
    • Use a small specimen bottle for storing lenses if needed
    • Carefully search for lost lenses.
    • Refer patients with chronic problems (discomfort, dryness, redness) to the practitioner that fitted the lenses.
    • Refer patients with signs of infection to an ophthalmologist immediately, bypassing optometrist (avoid antibiotic application in suspicious cases)

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    Contact Lenses PDF

    Description

    This quiz covers the essential aspects of contact lenses, including their advantages and disadvantages, types (hard and soft), and common eye issues associated with their use. Explore the importance of proper care and treatment methods for various ocular conditions like red eye and dry eyes. Assess your knowledge on how to manage contact lens-related concerns effectively.

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