What is the initial management step for suspected CLPU?

What is the initial management step for suspected CLPU?

• A. Discontinue contact lens wear
• B. Switch to different lens material
• C. Increase lens wear time
• D. Ignore symptoms

Answer: (A)

When suspected CLPU, the first step is to stop wearing contact lenses. Removing the lens eliminates the ongoing source of mechanical irritation, hypoxia, and potential lens-related deposits that contribute to the peripheral corneal ulcer. Stopping lens wear allows the cornea to begin healing and makes assessment more accurate, while reducing the risk that continued wear will worsen the lesion or mask an infectious process. After lens removal, a clinician can promptly evaluate for infection, provide appropriate treatment if needed, and plan follow-up. Keeping lenses in place would perpetuate the problem and delay healing, while changing lens material, increasing wear time, or ignoring symptoms do not address the underlying issue.

When suspected CLPU, the first step is to stop wearing contact lenses. Removing the lens eliminates the ongoing source of mechanical irritation, hypoxia, and potential lens-related deposits that contribute to the peripheral corneal ulcer. Stopping lens wear allows the cornea to begin healing and makes assessment more accurate, while reducing the risk that continued wear will worsen the lesion or mask an infectious process. After lens removal, a clinician can promptly evaluate for infection, provide appropriate treatment if needed, and plan follow-up. Keeping lenses in place would perpetuate the problem and delay healing, while changing lens material, increasing wear time, or ignoring symptoms do not address the underlying issue.