Shire Test Prep

Management after Lens Refitting

The patient returned one month later for follow-up, reporting few changes in symptoms or contact lens wear time. I considered this an indication for advancing his treatment regimen to include therapies that increase tear retention.

While the patient continued with the lubricant therapies, I put in punctal plugs in both eyes and, later, added an eye mask for him to sleep in at night to help the eyes remain closed and moist. By the time he returned again, he had noticed a significant improvement in both symptoms and contact lens wear time. Fluorescein examination found less inferior punctuate corneal staining in both eyes.

Over the next few months, the patient reduced his artificial tear use and eventually was using only LACRISERT® (hydroxypropyl cellulose ophthalmic insert) in the morning for lubrication and an ointment at night to protect against lagophthalmos. He was regularly getting more than 8 hours of comfortable wear from his contact lenses, something he had not experienced in the previous 3 years.

Jack L. Schaeffer, OD, FAAO
Jack L. Schaeffer, OD, FAAO, is president, CEO, and chief of optometry at Schaeffer Eye Center in Birmingham, AL. He is a consultant for Bausch + Lomb.

Indications and Usage

LACRISERT® (hydroxypropyl cellulose ophthalmic insert) is indicated in patients with moderate to severe dry eye syndromes, including keratoconjunctivitis sicca. LACRISERT is indicated especially in patients who remain symptomatic after an adequate trial of therapy with artificial tear solutions. LACRISERT is also indicated for patients with exposure keratitis, decreased corneal sensitivity, and recurrent corneal erosions.

Important Safety Information

  • LACRISERT® (hydroxypropyl cellulose ophthalmic insert) is contraindicated in patients who are hypersensitive to hydroxypropyl cellulose.
  • Instructions for inserting and removing LACRISERT should be carefully followed.
  • If improperly placed, LACRISERT may result in corneal abrasion. Because LACRISERT may cause transient blurred vision, patients should be instructed to exercise caution when driving or operating machinery.
  • The following adverse reactions have been reported, but were in most instances mild and temporary: transient blurring of vision, ocular discomfort or irritation, matting or stickiness of eyelashes, photophobia, hypersensitivity, eyelid edema, and hyperemia.

Please see full Prescribing Information for LACRISERT® (hydroxypropyl cellulose ophthalmic insert).

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