- If you fit a patient with contact lenses for extended wear you should:
- make them aware that extended wear increases their risk of microbial keratitis
- tell them the signs of possible complications to look out for and what to do in these circumstances
- ensure they attend for regular contact lens check-ups
- provide them with an out-of-hours contact number for emergencies, as well as the number of the local eye casualty department.
- You must teach the patient how to remove their contact lenses. If the patient has extended wear contact lenses and, because of a disability, is unable to handle them, you must teach their carer how to remove the lenses.147
- The frequency of contact lens check-ups depends upon factors including the patient’s:
- clinical status
- type of contact lens
- 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 contact lenses on a daily wear basis.
147 General Optical Council (2016) Standards of Practice for Optometrists and Dispensing Opticians para 2.5 [Accessed 19 Nov 2020]