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Medical Forum / General / Vision / August 2005

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Giant papillary conjunctivitis with DAILY lenses

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danieljohnhayes@gmail.com - 22 Aug 2005 19:32 GMT
Hi,

I wore contact lenses for a couple of months in my right eye before
developing irritations which I later found to be GPC. The left eye,
however, didnt develop such problems and I kept using daily contacts in
that eye while I had LASIK on the right. The LASIK procedure wasn't
great and gave me a vision of around -1.5 which got much worse at night
however I continued with 1 LASIK eye and one contact eye for about 3
years. Then I started to get the same contact lens GPC problems in my
left eye. I then had LASIK in that eye with slightly better results,
perhaps 1 point better than before but still falling at night. I've
been like that for over a year now but the disparity between the vision
in my two eyes is quite annoying and sometimes disorientating and I can
not afford to have another LASIK procedure on the right (and would
prefer not to anyway). I wonder if there is any regimen or change in
contact lens technology in the past couple of years that would allow me
to wear contact lenses again (perhaps only for small periods of time eg
driving, night time). I remember trying the same type of daily lenses
for my right eye about a year after I had LASIK done on it but the
itchiness returned in a matter of hours so I'm guessing I either need a
new type of lens, drops such as alomide, or to not bother! (I am
doubtful of my chances given everyone seems to think daily lenses are
the least damaging wrt GPC...)
doctor_my_eye@msn.com - 23 Aug 2005 20:57 GMT
I'm not seeing ANY GPC in patients wearing Acuvue Oasys.  Period.
William Stacy - 23 Aug 2005 21:56 GMT
Maybe that's because they just became available this week. Not enough
time to develop it yet?...

>I'm not seeing ANY GPC in patients wearing Acuvue Oasys.  Period.
>
>  
danieljohnhayes@gmail.com - 24 Aug 2005 14:36 GMT
Ok, I will look into those.

By the way, is my condition (unable to tolerate even daily disposable
lenses) somewhat rare? I do get allergies somewhat and have auto immune
hepatitis, I suspect GPC may be more likely with an auto immune problem.
Dr. Leukoma - 24 Aug 2005 16:09 GMT
You probably need to take an extended break from any type of contact
lens and get the GPC agressively treated with medication, such as
topical corticosteroids, or any of the popular mast cell stabilizers
like Alocril, Alomide, Patanol, Optivar, or Zaditor.  The former is
very effective, but there are risks with long-term steroid use.  The
latter are safe for long-term use.

Once the GPC is under control, I would think that a daily disposable
would be the most appropriate type of lens to consider just so long as
you can get a good fit, i.e. no edge sensation, minimal movement.
Also, medications such as Patanol can be used concurrently with contact
lens use, as it is twice a day dosing.

Although I concur that the Acuvue Oasys is a very good lens with a low
coefficient of surface friction, it is probably quite comparable and no
better than most hydrogel lenses regarding that specific property, and
it is much too expensive to throw away on a daily basis.

DrG
kemccx@gmail.com - 24 Aug 2005 22:41 GMT
What are the symptoms of GPC?  Is it just slight irritation or much
more than that?  I'm asking because I've been wearing a CL every day
for up to 12 hours (I have to, due to the disparity in the vision of my
eyes).  For the last week or so, I've felt this slight irritation and
the eye seems a bit bloodshot.  
thanks - Karen
 
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