Shire Test Prep


A 25-year-old white male patient reported dryness and irritation with contact lenses in both eyes. He had been wearing contact lenses for 8 years, and over the last 3+ years the lenses had become increasingly uncomfortable. At the time of his visit, he could not wear the lenses for more than 6 to 8 hours before discomfort set in, and his eyes felt dry and therefore uncomfortable for the rest of the wearing day. He had been prescribed a variety of artificial tears (which he used frequently), lubricating ointments, topical cyclosporine, even punctal plugs, but nothing sufficiently helped.

The patient had previously been noted to have a nocturnal lagophthalmos and a history of inferior corneal staining that did not resolve with periodic cessation of lens wear. His job required him to drive 3 to 4 hours every day.

Which of the following could have contributed to this patient’s symptoms of dry and irritated eyes?

a. Contact lens wear
b. Long driving
c. Lagophthalmos
d. All of the above
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.

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