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October 1983

Superior Limbic Keratoconjunctivitis-Reply

Arch Ophthalmol. 1983;101(10):1628-1629. doi:10.1001/archopht.1983.01040020629033

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In Reply.  —I would like to thank Dr Theodore for his review of my article and appreciate these valuable comments from the original describer of SLK relative to the differences between this idiopathic disease and the contact lens-induced "SLK" described by me.It was not my purpose in reporting these cases to suggest a common cause or pathophysiology for idiopathic and contact lens-related SLK. The label was applied because of the almost identical clinical manifestations in these two conditions.The younger age group affected, usual bilaterality, and predominance of female patients in my cases are most likely attributable to characteristics of the cosmetic contact lens population. Since the condition is definitely related to the wearing of lenses, it would not be expected to pursue the chronic course often found in Theodore's SLK and treatment would be expected to be simpler—obviously starting with discontinuance of lens use alone. I would not

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