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Contact Lens Spectrum

Article

Dry Eye Dx and Tx: Preserving the Periphery

Patients who have aphakia, high regular astigmatism, or pathologic myopia, and those who are critical observers, can benefit from custom specialty soft lenses.

By: STEPHANIE PISANO, OD
Contact Lens Spectrum October 1, 2025 Vol 40, Issue October 2025 Page(s): 7

Clinical Report: Dry Eye Dx and Tx: Preserving the Periphery

Overview

Custom specialty soft lenses can significantly benefit patients with aphakia, high regular astigmatism, or pathologic myopia. Monitoring the limbal region during contact lens wear is crucial to prevent limbal stem cell deficiency (LSCD), which can arise from contact lens use.

Background

The management of dry eye disease (DED) is complex, particularly in patients requiring contact lenses. Conditions such as aphakia and high regular astigmatism necessitate specialized lens designs to optimize visual outcomes while minimizing ocular surface complications. Understanding the risks associated with contact lens wear, including LSCD, is essential for maintaining corneal health.

Data Highlights

No numerical data available in the source material.

Key Findings

Verify and adjust the statistic for LSCD occurrence and ensure all points are directly referenced.

Clinical Implications

Practitioners should prioritize the use of silicone hydrogel lenses and perform regular slit lamp exams to monitor for signs of LSCD in contact lens patients. Early intervention strategies, including lens cessation and topical therapies, can mitigate the progression of corneal complications.

Conclusion

The careful selection of contact lenses and proactive monitoring can significantly enhance patient outcomes in those at risk for LSCD. Ongoing education on lens materials and fitting techniques is essential for optimizing ocular health.

References

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