CONTENTS: SESSION VII: HOW CAN WE IMPROVE THE VISUAL RESULTS OF CONTACT LENS WEAR?Noninflammatory Silicone Hydrogel Contact Lens ComplicationsDumbleton, Kathy M.Sc., M.C.Optom, F.A.A.O.Author Information From the Centre for Contact Lens Research, School of Optometry, University of Waterloo, Waterloo, Ontario, Canada. Accepted September 24, 2002. Address correspondence to: Kathy Dumbleton, Centre for Contact Lens Research, School of Optometry, University of Waterloo, Waterloo, Ontario, N2L 3G1, Canada. Phone: (519) 888-4742, ext. 2694; fax: (519) 884 8769; e-mail: [email protected] Eye & Contact Lens: Science & Clinical Practice: January 2003 - Volume 29 - Issue 1 - p S186-S189 Buy Abstract High Dk silicone hydrogel lenses have overcome many of the hypoxic problems associated with traditional extended wear, and the popularity of continuous wear with these lens types is increasing. Despite the elimination of hypoxia, several noninflammatory clinical complications have been reported to occur as a result of mechanical disturbances or trauma when wearing silicone hydrogel lenses. This article reviews the origin and presentation of mucin balls, superior epithelial arcuate lesions, contact lens papillary conjunctivitis, and corneal erosions in silicone hydrogel lens wearers. A number of management strategies and approaches to minimize the occurrence of these clinical complications are also discussed. © 2003 Lippincott Williams & Wilkins, Inc.