Contact lens induced papillary conjuncti-
vitis (CLPC) is one of the most common
reasons for discontinuation of contact lens
wear.' The hallmark signs are enlarged
papillae accompanied by redness of the
upper palpebral conjunctiva. Symptoms
include discomfort, itching, mucous dis-
charge, foreign body sensation, excessive
lens movement and/or decentration and
blurred vision caused by lens mislocation
and/or lens depo~its.~-~ Management op
tions for CLPC include frequent cleaning
and replacement of lenses to reduce de-
posits, a decrease in wear time, change in
mode ofwear (from extended wear to daily
wear) and changes in lens type or mate-
rial.68