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Disclosures Basic Management Guidelines Giant Papillary ...

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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

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