CLEAR - Evidence-based contact lens practice

James S. Wolffsohn*, Kathy Dumbleton, Byki Huntjens, Himal Kandel, Shizuka Koh, Carolina M.E. Kunnen, Manbir Nagra, Heiko Pult, Anna L. Sulley, Marta Vianya-Estopa, Karen Walsh, Stephanie Wong, Fiona Stapleton

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Evidence-based contact lens —>practice involves finding, appraising and applying research findings as the basis for patient management decisions. These decisions should be informed by the strength of the research study designs that address the question, as well as by the experience of the practitioner and the preferences and environment of the patient. This reports reviews and summarises the published research evidence that is available to inform soft and rigid contact lens history and symptoms taking, anterior eye health examination (including the optimised use of ophthalmic dyes, grading scales, imaging techniques and lid eversion), considerations for contact lens selection (including the ocular surface measurements required to select the most appropriate lens parameter, lens modality and material selection), evaluation of lens fit, prescribing (teaching self-application and removal, adaptation, care regimen and cleaning instructions, as well as —>minimising risks of lens wear through encouraging compliance) and an aftercare routine.

Original languageEnglish
Pages (from-to)368-397
Number of pages30
JournalContact Lens and Anterior Eye
Issue number2
Early online date25 Mar 2021
Publication statusPublished - Apr 2021

Bibliographical note

© 2021, Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International


  • Contact Lens Evidence-based Academic Reports (CLEAR)
  • Contact lenses
  • Evidence-based medicine
  • Evidence-based practice


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