Discussions that mention ketorolac

Eye & Vision board


The causes of GPC include contact allergy and perhaps immune system reactions. Typically, GPC results from: exposure to chemicals and preservatives in contact lens solutions, the plastic material itself, pollens and other airborne allergens, or can occur secondarily to a bacterial infection. Hay fever is considered to be a primary precipitatory factor, as are chemical preservatives in lens care products and eye drops. Additionally, overwear and mis-use of contact lenses, especially worn, damaged or soiled lenses can cause GPC.
Treatment and Management : First, you must remove the source causing the inflammatory response. Contact lens wear is discontinued, often until the symptoms completely resolve. The previously used lenses, if soft, are discarded, as the contaminants might be attached to the lens material. As it is possible that the type of plastic used to manufacture the contact lens is the irritant, a lens of different material may be advised. Lens care solutions are altered to reduce or eliminate potential chemical irritants. If hay fever is the primary cause of GPC, medication to address that condition systemically is required, as well as medications to treat the ocular surface condition.

Medications can be used to inhibit the papillary reaction while waiting for the conjunctival membrane to de-toxify and repair damage.

Pharmacological agents applied as drops include: mast cell stabilizers, such as cromolyn sodium (Cromlon, B&L), lodoxamide (Alomide, Alcon) and histamine blockers such as levocabastine (Livostin, Ciba). Oral antihistamines, such as Benadryl and Chlortrimeton may be used. In acute symptomolgy, for rapid relief of symptoms, anti-inflammatory drops such as ketorolac (Acular, Allergan) or corticosteroid drops can be used to quiet the reaction.

I hope this is helpful for your 17 year old daughter. Optometrists (member of American Academy of Optometry), who specilizes in Contact Lenses,will have a lot of experience with contact lens related GPC.