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 Fitting Tip of the Month - April, 2008 A free weekly e-mail newsletter brought to you by: 
CLToday Contact Lens Spectrum
Edited by Carla Mack, O.D., F.A.A.O. and the staff of Contact Lens Spectrum
This week CLToday® reaches more than 14,000 readers in 74 countries. 
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Fitting Tip of the Month

Maximizing Silicone Hydrogel Comfort

The conversion of existing hydrogel wearers to silicone hydrogel lenses is proving to be a challenge for many practitioners due to the unexpected complaints of lens awareness and discomfort. While the stiffer lens modulus of these SiHy lenses is a factor, properly assessing the upper lids of these patients is the real key to maximizing lens comfort. Everting upper lids of hydrogel wearers will uncover numerous inflammatory conditions such as low grade GPC or Lid Wiper Epitheliopathy. These conditions tend to be asymptomatic with hydrogel wearers but become exacerbated by the stiffer SiHy lenses, resulting in eventual lens intolerance. Properly identifying and treating these inflammatory lid conditions prior to conversion to SiHy lenses will go a long way in insuring lens comfort and wearability for these patients. 
Dennis M. Kuwabara, O.D., F.A.A.O. 
Honolulu, Hawaii

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