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. Author manuscript; available in PMC: 2017 Oct 1.
Published in final edited form as: Ocul Surf. 2016 Jul 30;14(4):419–434. doi: 10.1016/j.jtos.2016.06.003

Figure 6. Proposed treatment algorithm for CL-induced LSCD.

Figure 6

*Return to soft CL use can be considered in patients who will comply with good follow-up and most often in patients where disease is suspected to develop secondary to preservative-containing lens cleaning solutions. These patients should use preservative-free cleaning methods (such as hydrogen peroxide solution), switch to disposable daily lenses, ensure proper fit, and decrease amount of daily wear time. Any recurrence of disease should lead to prompt discontinuation of wear.

**Keratoplasty will only be successful long-term in patients with a healthy limbal niche; it cannot be utilized until LSCD has resolved or been fully treated with limbal transplant.

Note: Further research is needed to test the efficacy of our treatment model.