Disclosures Basic Management Guidelines Giant Papillary ...
Disclosures Basic Management Guidelines Giant Papillary ...
Disclosures Basic Management Guidelines Giant Papillary ...
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
Contact Lens Induced Superior Limbic<br />
Keratoconjunctivitis (SLK)<br />
• Similarities/differences with Theodore’s SLK<br />
(idiopathic): associated thyroid disease, bilateral<br />
presentation, location & severity of conjunctival<br />
findings, corneal features including stem cell<br />
dysfuction<br />
• Additional conditions to consider: lid meniscus<br />
staining, epithelial splitting, herpes simplex<br />
keratoconjunctivitis, chlamydia, episcleritis,<br />
limbal follicles, sebaceous gland carcinoma<br />
<strong>Management</strong> of GPC<br />
• Always address the patient, lens and<br />
wearing schedule.<br />
• Suggested changes include replacement<br />
cycle, material & design, accoutrement<br />
and wearing schedule<br />
• Pharmaceuticals: mast cell stabilizers<br />
(type 1 response), NSAIDs, antihistamine/decongestants,<br />
soft steroids,<br />
lubrication