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January 1985

Extended-Wear Soft Contact Lenses

Arch Ophthalmol. 1985;103(1):16. doi:10.1001/archopht.1985.01050010018006

To the Editor.  —We are concerned about the implications of the article by Spoor et al1 in the September issue of the Archives. The authors have mistakenly referred to our previous publications2,3 as "Reports of successful, complication-free fitting of continuous-wear soft contact lenses... for aphakic correction." They went on to imply that our reports cited an incidence rate of no significant ocular complications.Unfortunately, the patients in the series described by Spoor et al had a high rate of complications. The patients were treated by resident surgeons and were presumably followed up in a resident clinic. The article indicated that their patients had no clinically important external ocular disease before contact lens fitting, but three patients had severe corneal problems from "dry eye, keratoconjunctivitis, and excessive pannus formation." Four other discontinued patients were "chronic alcoholics and also unreliable."In contrast, our patients were selected to be reliable and

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