What is a typical treatment for mild-to-moderate GPC?

What is a typical treatment for mild-to-moderate GPC?

• A. Oral steroids
• B. Increase lens wear
• C. Discontinue lens wear, antihistamine/mast cell stabilizers, refit with low modulus and frequent replacement
• D. LASIK

Answer: (C)

Managing mild-to-moderate Giant Papillary Conjunctivitis in contact lens wearers aims to reduce the ongoing irritation from the lenses and to calm the allergic/inflammatory response. The typical approach is to discontinue lens wear for a period, start topical antihistamine/mast cell stabilizers to control itching and redness, and refit with a low-modulus (softer) lens and frequent replacement. Stopping lens wear cuts off the continual mechanical and deposit-related stimulus that drives the papillary reaction, while the anti-allergy drops address the inflammatory component. Replacing lenses more often with a softer material reduces movement and friction against the conjunctiva, minimizing irritation and the likelihood of recurring papillae. If symptoms persist, clinicians may adjust the plan, but this combination is the standard first-line strategy for mild-to-moderate cases.

Managing mild-to-moderate Giant Papillary Conjunctivitis in contact lens wearers aims to reduce the ongoing irritation from the lenses and to calm the allergic/inflammatory response. The typical approach is to discontinue lens wear for a period, start topical antihistamine/mast cell stabilizers to control itching and redness, and refit with a low-modulus (softer) lens and frequent replacement. Stopping lens wear cuts off the continual mechanical and deposit-related stimulus that drives the papillary reaction, while the anti-allergy drops address the inflammatory component. Replacing lenses more often with a softer material reduces movement and friction against the conjunctiva, minimizing irritation and the likelihood of recurring papillae. If symptoms persist, clinicians may adjust the plan, but this combination is the standard first-line strategy for mild-to-moderate cases.