History Taking

History and symptoms are critical in determining whether an individual is suitable for contact lens wear, to aid selection and to inform management. The aim is to elicit relevant information comprehensively but in as concise a manner as possible, as time is limited in a clinical setting, but missing information can result in suboptimal clinical decisions. Clinical records have been found to underestimate actual care provided, suggesting record keeping is not always as comprehensive as it should be (Shah et al., 2010). A web-based survey, developed by the British University Committee of Contact Lens Educators (BUCCLE – which comprises of all the academic-based contact lens educators in the UK and Ireland), of 256 respondents with a wide range of experience, mainly from the UK and Eire, informed the recommendations in this chapter (Wolffsohn et al., 2015).