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Disclosures Basic Management Guidelines Giant Papillary ...

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Contact Lens Related Pseudodentrites<br />

• Similarities/differences with HSV keratitis:<br />

raised/excavated, staining patterns, bilateral<br />

presentations, adnexa features (skin involvement)<br />

Additional conditions to consider: Richner-Hanhart<br />

Syndrome (Tyrosinemia), Thygeson’s SPK,<br />

edematous corneal formations, corneal verticilatta,<br />

healing abrasions, stromal dystrophy,<br />

medicamentosa, acanthamoeba keratitis<br />

<strong>Management</strong> of CL Induced Superior Limbic<br />

Keratoconjunctivitis<br />

• Hiatus from lens wear<br />

• Address patient, lens and wearing<br />

schedule<br />

• Frequent lubrication recommended<br />

• Pharmaceuticals: steroid or<br />

antibiotic/steroid combination for<br />

inflammation, NSAIDs (limited value),<br />

mast cell stabilizer, cyclosporine

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