Applications of contact lens devices in the management of corneal disease

Contact lens devices have a variety of therapeutic applications in the management of corneal diseases. A wide range of devices is available, some with very specific indications for use, including scleral lenses, silicone elastomer, collagen shields, large diameter corneal lenses, and silicone hydrogels. The traditional hydrogel contact lens is the most frequently used device and is indicated in at least 80% of cases. Common indications for use are relief of pain, promotion of corneal healing, mechanical protection and support, and control of corneal hydration, often a combination of effects being achieved. Visual improvement may be achieved but this is not the primary role of such devices.