Impact Of Clinical Examination On Soft Contact Lens Fitting And Associated Ocular Surface Complications In Young Adults

Soft contact lenses are widely used for refractive correction and cosmetic purposes, particularly among young adults. Although generally safe when properly fitted and monitored, inappropriate fitting and poor hygiene practices may lead to significant ocular surface complications. Comprehensive clinical examination remains essential to ensure optimal lens adaptation and prevent adverse events.

To evaluate the role of thorough clinical examination in optimizing soft contact lens fitting and to identify the main ocular complications associated with improper use.

This retrospective descriptive study included 34 female soft contact lens wearers aged 18–30 years. Data collection involved standardized questionnaires assessing wearing habits and hygiene practices. All participants underwent complete ophthalmologic examination including visual acuity assessment, slit-lamp biomicroscopy, fluorescein staining, and tear film evaluation. Lens parameters (base curve, diameter, material, and replacement frequency) were analyzed to determine fitting adequacy.

Eighty-eight percent of lenses were fitted without medical supervision. Non-optimal base curve was observed in 71% and inappropriate diameter in 80% of cases. Ocular complications were predominantly hypoxic and inflammatory, including corneal neovascularization (88%), superficial punctate keratitis (68%), dry eye symptoms (94%), and protein deposits (88%). No infectious keratitis was reported.

Inadequate lens fitting and poor compliance are strongly associated with ocular surface complications. Structured clinical assessment, patient education, and regular follow-up are essential to ensure safe and effective contact lens wear.