When SEAL is suspected, which lens modification is recommended?

When SEAL is suspected, which lens modification is recommended?

• A. Discontinue contact lens wear, artificial tears, refit with a lower modulus
• B. Switch to high modulus lenses
• C. Use only topical antibiotics
• D. Continue wearing with no changes

Answer: (A)

When SEAL is suspected, the goal is to minimize mechanical stress on the corneal surface while encouraging healing. Stopping lens wear gives the epithelium a break from continuous irritation and allows any minor disruption to begin repairing. Using artificial tears maintains lubrication during this recovery period. Refitting with a lower modulus lens means choosing a softer, more flexible lens that exerts less mechanical force on the cornea and lid. This reduces friction and dehydration at the ocular surface, helping to prevent further epithelial disruption and promoting a more comfortable, healthier fit as healing occurs. Switching to a high modulus lens would increase mechanical irritation, continuing wear with no changes fails to address the problem, and relying only on topical antibiotics doesn’t fix the mechanical/epithelial stress underlying SEAL.

When SEAL is suspected, the goal is to minimize mechanical stress on the corneal surface while encouraging healing. Stopping lens wear gives the epithelium a break from continuous irritation and allows any minor disruption to begin repairing. Using artificial tears maintains lubrication during this recovery period. Refitting with a lower modulus lens means choosing a softer, more flexible lens that exerts less mechanical force on the cornea and lid. This reduces friction and dehydration at the ocular surface, helping to prevent further epithelial disruption and promoting a more comfortable, healthier fit as healing occurs. Switching to a high modulus lens would increase mechanical irritation, continuing wear with no changes fails to address the problem, and relying only on topical antibiotics doesn’t fix the mechanical/epithelial stress underlying SEAL.