Clinical Scorecard: Deterring contact lens dropout

At a Glance

Key Highlights

• Discomfort is the primary reason for contact lens dropout.
• Other factors include cost, lens handling, and convenience.
• Regular refraction and assessment of ocular surface are crucial.
• Eye care providers should proactively discuss alternative lens options.
• Education on ocular surface health can improve comfort.

Guideline-Based Recommendations

Diagnosis

• Assess ocular surface health before fitting contact lenses.
• Conduct annual refraction to ensure optimal lens power.

Management

• Discuss alternative lens options with patients regularly.
• Educate on proper lid hygiene and lubrication strategies.

Monitoring & Follow-up

• Monitor for signs of ocular surface dryness and discomfort.
• Encourage patients to return for issues affecting wear time.

Risks

• Incompatibility between lenses and ocular surface can lead to dropout.
• Visual discomfort can be mistaken for ocular surface issues.

Patient & Prescribing Data

Individuals using contact lenses, including neophytes and presbyopes.

Consider patient lifestyle and refractive needs when prescribing.

Clinical Best Practices

• Proactively address patient concerns about comfort and vision.
• Utilize patient education to enhance satisfaction with contact lenses.
• Regularly review and update lens options based on patient feedback.

References

• Contact Lens Institute Report
• Study on Patient Dropout Rates