Abstract

Contact lens papillary conjunctivitis (CLPC) may be a combination of immunological and mechanical responses to contact lenses and their deposits, resulting in a hypersensitivity reaction.1 Enlarged papillae on the tarsal conjunctiva, redness, itching, increased mucus, and decreased contact lens tolerance are typical symptoms. 2 CLPC is a major reason for discontinuing contact lens wear; 3 however, the link between lens deposits, mechanical trauma, the immunological response and ultimate discontinuation of lens wear is still unclear. In view of the known immunological aspects of CLPC, our aim was to determine the levels of human serum albumin (HSA), secretory IgA (sIgA, a constitutive protein) and lactoferrin (a regulated protein) on extended wear contact lenses (EWCL).

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