A 47-year-old female presents complaining of mild discomfort while wearing her contact lenses. A comprehensive ocular examination reveals no physiological basis for the discomfort, as the ocular surface appears normal.

In this case, many of us may try to alleviate the discomfort using a new lens material, solution or even a daily disposable lens. These technologies may make the patient comfortable for now, but will she return in a year and report more discomfort? And if she does, should she be re-fit again, or is there an underlying cause that needs to be treated first?

 

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