What should be considered if a patient shows a Superior Limbal Keratoconjunctivitis (SLK) pattern?

When assessing a patient with Superior Limbal Keratoconjunctivitis (SLK), evaluating lid hygiene is crucial. SLK is an inflammatory condition typically associated with contact lens wear and can be exacerbated by poor lid hygiene, which can lead to the accumulation of debris and bacteria. Proper lid hygiene helps reduce inflammation and improve comfort for the patient.

In cases of SLK, it is essential to have the patient maintain clean eyelids and eliminate any irritants that may contribute to the condition. This can involve teaching the patient how to clean their eyelids effectively, using appropriate products that can help remove inflammatory mediators and promote overall eye health.

While the other options may be relevant in different contexts, they do not address the root of the SLK condition directly. For example, switching to spherical lenses or increasing lens water content might not directly resolve the inflammation associated with SLK. Similarly, implementing a nightly lens regimen may not be appropriate if the patient is already experiencing discomfort due to SLK, as overnight wear could potentially aggravate the condition. Thus, focusing on lid hygiene is the most immediate and relevant concern when managing a patient with SLK.