To the Editor.
—I read with interest the recent article by Fuerst et al1 in the August Archives reporting the appearance of superior limbic keratoconjunctivitis in soft contact lens wearers. The appearance of superior conjunctival hyperemia, punctate epithelial and subepithelial opacities, and an irregular epithelium involving the superior one third to one half of the cornea has also been described by others.2,3 Although this condition has now been well reported, no definite etiology has been established.During the last several years, I have encountered a number of patients with clinical findings similar to the cases reported. In each case, after the symptoms and signs resolved—ever so slowly in some cases—I gave the patients a trial of the contact lenses. In all cases I could report that when symptoms and signs recurred, the contact lenses rode superiorly on the cornea, as if captured and held in place by the
Carpel EF. Superior Limbic Keratoconjunctivitis. Arch Ophthalmol. 1984;102(5):662-664. doi:10.1001/archopht.1984.01040030522004