New contact lens challenges: the epithelial basement membrane dystrophy.
This paper examines a "new frontier" in contact lens fitting. It integrates histopathological and slit lamp findings of the epithelial basement membrane dystrophies and relates them to various options in therapeutic and cosmetic contact lens treatment. It reviews new concepts regarding the incidence and etiology of the dystrophy. The risk benefit assessment of extended wear hydrogels and rigid gas permeable lens fitting is discussed. Case histories illustrate clinical successes.
D000328:Adult; D000368:Aged; D001458:Bandages; D001485:Basement Membrane / Q000473:pathology; D003261:Contact Lenses / Q000009:adverse effects; D003263:Contact Lenses, Hydrophilic; D003315:Cornea / Q000473:pathology; D003317:Corneal Dystrophies, Hereditary / Q000175:diagnosis / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D004848:Epithelium / Q000473:pathology; D005260:Female; D006801:Humans; D008297:Male; D012008:Recurrence