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Contact Lens Aftercare & Management

Resources for monitoring, recording and taking appropriate action during the care of contact lens wearers.

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About this resource 

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A reference guide for the correct set-up and use of the slit lamp in contact lens aftercare management.

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Example of SMILE stain

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Foreign body track staining

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Associated bulbar conjunctival hyperemia along the horizontal meridian

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Example of SICs donut staining pattern

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Superior epithelial arcuate lesion (SEAL) viewed with fluorescein

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Mucin balls visible with medium-high magnification and diffuse white light

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Dimple veil visible with diffuse white light view

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Microcysts, reversed illumination

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Striae, visible in optic section

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Lens surface drying between blinks

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Calculi (Jelly bumps)

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Low magnification view of make up on lens

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Torn soft lens edge

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Fluorescein tear film break up

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Tear meniscus height measurement on Oculus K5

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Nasal pterygia viewed under higher magnification

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Punctate staining of conjunctiva viewed under blue light and Wratten filter

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Temporal lens edge lissamine green stain viewed under white light

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Acute allergic conjunctivitis with chemosis

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Magnified view of conjunctival hyperemia

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Prominent temporal pingueculae

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Corneal folds

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Marked radial keratotomy (RK) refractive surgery scars

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Asymptomatic infiltrative keratitis staining with fluorescein

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Infiltrative keratitis

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Active CLPU staining with fluorescein

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Contact lens associated red eye (CLARE)

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Microbial keratitis with associated limbal hyperemia

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Corneal endothelial cells viewed in specular reflection

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Rigid corneal lens bound to cornea

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Corneal distortion illustrated by distorted placido disc reflection

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Low magnification view of circum-limbal lissamine green staining

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Limbal edema viewed with fluorescein and blue light

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Example of limbal bearing with a scleral lens in a very hyperemic eye

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Higher magnification view of superior limbic keratoconjunctivitis

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Extensive corneal vascularization visible under a scleral lens

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Higher magnification view of limbal hyperemia

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Marked giant papillae and hyperemia

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Lower lid wiper epitheliopathy with lissamine green

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Example of frothy tears

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Primarily Staphylococcal Blepharitis, with evidence of some Demodex collarettes too

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Higher magnification example of LIPCOF

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Confluent central corneal stain