The College of Optometrists

Extended wear

If you fit a patient with contact lenses for extended wear you should: 
  1. make them aware that extended wear increases their risk of microbial keratitis
  2. teach them how to remove their lenses
  3. tell them the signs of possible complications to look out for and what to do in these circumstances
  4. ensure they attend for regular aftercare, and
  5. provide them with an out of hours contact number for emergencies and the number of the local eye casualty department.
If the patient has extended wear lenses because of their disability and is unable to handle them, you must teach their carer how to remove the lenses. 126
The frequency of contact lens check-ups depends upon factors including the patient’s:
  1. clinical status
  2. history
  3. type of lens, and
  4. modality of wear.
Because of the increased risk of complications, you should carry out contact lens check-ups for patients wearing lenses on an extended wear basis more frequently than those wearing lenses on a daily wear basis. 

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