Objective:
To optimize contact lens success in patients with dry eye disease (DED) for eyecare practitioners.
Key Findings:
- DED affects millions and can significantly impair quality of life.
- Contact lenses may exacerbate symptoms of DED due to disruption of the tear film.
- Successful contact lens wear requires effective management of DED.
- Lid wiper epitheliopathy is common in symptomatic contact lens wearers.
- Point-of-care metrics can help identify patients at risk for contact lens intolerance.
Interpretation:
Effective management of DED is crucial for successful contact lens wear, requiring a tailored combination of treatment and appropriate lens selection.
Limitations:
- Variability in individual responses to treatments.
- Potential for misdiagnosis between evaporative and aqueous-deficient DED, particularly in mixed cases.
Conclusion:
Addressing DED before and during contact lens fitting, through tailored strategies, is essential for improving patient comfort and lens wear success.
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