SLK - Education: Which statement reflects proper SLK management?

SLK - Education: Which statement reflects proper SLK management?

• A. Discontinue contact lens wear until resolution, use PFATs frequently, and a steroid drop QID
• B. Increase contact lens wear time
• C. Avoid lubricants
• D. Proceed with laser therapy.

Answer: (A)

SLK is driven by mechanical irritation from the lid and contact lens on the superior bulbar conjunctiva, leading to inflammation. The best management stops the source of irritation, keeps the ocular surface lubricated, and promptly reduces inflammation. Discontinuing contact lens wear removes the primary irritant and allows healing to begin. Using preservative-free artificial tears frequently helps maintain a smooth, lubricated surface and reduces friction in the affected area. A short course of a topical steroid dropped four times daily actively suppresses the inflammatory process to prevent further damage and promote recovery. Increasing wear time would worsen the irritation, avoiding lubricants would perpetuate dryness and friction, and laser therapy is not indicated for initial SLK management.

SLK is driven by mechanical irritation from the lid and contact lens on the superior bulbar conjunctiva, leading to inflammation. The best management stops the source of irritation, keeps the ocular surface lubricated, and promptly reduces inflammation. Discontinuing contact lens wear removes the primary irritant and allows healing to begin. Using preservative-free artificial tears frequently helps maintain a smooth, lubricated surface and reduces friction in the affected area. A short course of a topical steroid dropped four times daily actively suppresses the inflammatory process to prevent further damage and promote recovery. Increasing wear time would worsen the irritation, avoiding lubricants would perpetuate dryness and friction, and laser therapy is not indicated for initial SLK management.