What are common contraindications to soft contact lens wear?

What are common contraindications to soft contact lens wear?

• A. Active ocular infection or inflammation, severe dry eye, contact lens intolerance, corneal ulcers, or conditions compromising lens safety.
• B. Healthy eyes with no symptoms.
• C. Past successful lens wear.
• D. Temporary redness from allergies.

Answer: (A)

The main idea is that soft contact lens wear is not advised when the eye isn’t healthy or when a lens would hinder healing or safety. The list of contraindications covers situations where lenses could worsen a condition or create a risk of infection or damage: an active ocular infection or inflammation can be aggravated by a lens and can trap pathogens; severe dry eye reduces lubrication and stability, increasing irritation and risk to the cornea; contact lens intolerance means the wearer cannot tolerate lenses, which defeats safe wear; corneal ulcers show a compromised corneal surface where a lens could harbor organisms and slow healing; and any other condition that compromises lens safety (such as eyelid or tear-film problems, or recent procedures) raises the risk of complications. Healthy eyes with no symptoms are not contraindicated, and past successful lens wear suggests current suitability. Temporary redness from allergies isn’t by itself a contraindication unless it accompanies active inflammation or infection; in that case, postponing wear is prudent.