Name of the Procedure:

Fitting of Contact Lens for Treatment of Ocular Surface Disease

Summary

This procedure involves the fitting of specially designed contact lenses to treat various conditions affecting the ocular surface, such as severe dry eye or keratitis.

Purpose

The primary purpose of this procedure is to manage and alleviate the symptoms of ocular surface diseases, improving visual comfort and eye health. The contact lenses act as a protective barrier and help maintain a moist environment for the cornea.

Indications

• Severe dry eye syndrome
• Keratitis (inflammation of the cornea)
• Corneal erosions
• Post-surgical healing (e.g., after LASIK)
• Keratoconus or other corneal irregularities

Preparation

• Patients may need to discontinue certain medications or contact lens use prior to the appointment.
• An eye examination and possibly imaging of the ocular surface will be conducted for proper fitting.

Procedure Description

1. Initial Assessment: The eye doctor will examine the patient's eyes and take measurements of the cornea.
2. Lens Selection: Based on the assessment, the doctor will select the appropriate type and size of contact lens.
3. Lens Application: The lens is carefully placed on the eye to ensure a proper fit.
4. Evaluation: The fit and comfort of the lens are evaluated, and any necessary adjustments are made.
5. Instruction: The patient is instructed on how to insert, remove, and care for the lenses.

Tools and Equipment:

• Diagnostic equipment to measure corneal curvature and surface health.

• Various types of therapeutic contact lenses.

  Duration

  The fitting process typically takes about 1 to 2 hours, including the assessment and trial of lenses.

Setting

The procedure is usually performed in an ophthalmologist’s office or a specialized eye clinic.

Personnel

• Ophthalmologist or optometrist trained in contact lens fitting
• Medical assistant or technician

Risks and Complications

• Discomfort or irritation from lens wear
• Corneal abrasion or infection
• Allergic reaction to the lens material or cleaning solution

Benefits

Patients usually experience significant relief from symptoms and improved ocular surface health within days to weeks of consistent lens use.

Recovery

• Follow-up visits will be scheduled to monitor eye health and lens fit.
• Patients should adhere to proper lens care and wear schedules.
• Any signs of discomfort should be reported immediately.

Alternatives

• Artificial tears or lubricating eye drops
• Punctal plugs to reduce tear drainage
• Oral or topical medications
• Surgical interventions, depending on the specific condition

Patient Experience

During the fitting, patients may feel some initial discomfort which typically resolves as they adapt to the lenses. Post-procedure, they should follow care instructions to ensure comfort and prevent complications. Pain management usually includes over-the-counter analgesics and lubricating eye drops as needed.