How is CLAP managed if suspected?

• A. Reassess fit and deposits, reinforce cleaning, treat allergy if present, consider changing lens type or daily disposables, and re-evaluate.
• B. Stop wearing lenses immediately and switch to glasses only.
• C. Increase wear time to build tolerance.
• D. Use antibiotic drops without re-evaluation.

Answer: (D)

When suspecting contact lens-associated acute red eye, the priority is to stop wearing the lenses and have a professional re-evaluate the eye promptly. The best course focuses on identifying and reducing sources of irritation while keeping a close check on the eye’s response. This means reassessing the lens fit and any deposits on the lens, reinforcing and possibly improving the cleaning routine, and addressing any allergic component if present. Depending on what is found, you may consider changing the lens type, trying daily disposables, or adjusting the wear schedule to prevent recurring irritation. A re-evaluation ensures that infection or more serious inflammation can be ruled out or treated appropriately, and it prevents simply applying drops without an assessment. If there are signs suggesting infection or corneal involvement, urgent professional evaluation is essential, and treatment decisions, including antibiotics, should be guided by a clinician after examination.