The TFOS International Workshop on Contact Lens Discomfort : executive summary

Nichols, Jason J., Willcox, Mark D.P., Bron, Anthony J., Belmonte, Carlos, Ciolino, Joseph B., Craig, Jennifer P., Dogru, Murat, Foulks, Gary N., Jones, Lyndon, Nelson, J. Daniel, Nichols, Kelly K., Purslow, Christine, Schaumberg, Debra A., Stapleton, Fiona, Sullivan, David A., Efron, Nathan, & the members of the TFOS International Workshop on Contact Lens D (2013) The TFOS International Workshop on Contact Lens Discomfort : executive summary. Investigative Ophthalmology & Visual Science, 54(11), TFOS7-TFOS13.

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Contact lens discomfort (CLD) is a frequently experienced problem, with most estimates suggesting that up to half of contact lens wearers experience this problem with some frequency or magnitude. This condition impacts millions of contact lens wearers worldwide. Yet, there is a paucity of consensus and standardization in the scientific and clinical communities on the characterization of the condition, including the definition, classification, epidemiology, pathophysiology, diagnosis, management, influence of contact lens materials, designs and care, and the proper design of clinical trials.

The Tear Film & Ocular Surface Society (TFOS), which is a nonprofit organization, has conducted two prior international, consensus building workshops, including the Dry Eye WorkShop (DEWS; available in the public domain at and the Meibomian Gland Dysfunction Workshop (MGD; available in the public domain at To that end, TFOS initiated the process of conducting a similar workshop in January 2012—a process that took approximately 18 months to complete and included 79 experts in the field. These experts participated in one or more topical subcommittees, and were assigned with taking an evidence-based approach at evaluating CLD. Eight topical subcommittees were formed, with each generating a related report, all of which were circulated for presentation, review, and input of the entire workshop membership.

The entire workshop originally is being published in this issue of IOVS, in English, with subsequent translations into numerous other languages. All of this information is intended to be available and accessible online, free of charge. This article is intended to serve as an Executive Summary of the eight subcommittee reports, and all information contained here was abstracted from the full reports.

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ID Code: 67458
Item Type: Journal Article
Refereed: Yes
Keywords: contact lenses, dry eye, discomfort, dryness, discontinuation
DOI: 10.1167/iovs.13-13212
ISSN: 0146-0404
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > OPTOMETRY AND OPHTHALMOLOGY (111300)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Optometry & Vision Science
Copyright Owner: 2013 The Association for Research in Vision and Ophthalmology
Deposited On: 18 Feb 2014 02:30
Last Modified: 16 Dec 2016 03:16

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