What should a clinician look for in the first follow-up exam after fitting extended wear lenses?

In the first follow-up exam after fitting extended wear lenses, a clinician should indeed assess multiple factors, making "all of the above" the most comprehensive answer.

Eye irritation is a critical factor to consider, as it can be a sign of an adverse reaction to the lens material or a result of inadequate corneal oxygenation during wear. Monitoring for symptoms such as redness, discomfort, or changes in vision is essential for ensuring the lenses are suitable for the patient.

Lens clarity is another important aspect to evaluate. Clear lenses indicate proper functioning and help prevent any cloudiness that could interfere with vision or suggest contamination or other issues. It's fundamental to ensure that the lenses remain in a pristine condition for the health of the eyes.

Surface deposits also warrant attention, as these can build up on the lenses during wear, affecting comfort and vision. Deposits can result from tear proteins, lipids, or environmental factors and may lead to irritation or potential risks of infection if not managed properly.

Taking all these factors into account is crucial for ensuring the patient’s comfort, the health of their eyes, and the overall success of the extended wear lens fitting. By checking for eye irritation, assessing lens clarity, and evaluating for surface deposits, clinicians can effectively monitor a patient’s