Objective:

To highlight the use of Lissamine green strips as a diagnostic tool for predicting contact lens comfort.

Key Findings:

• Lissamine green reveals subclinical inflammation and lid margin disease.
• It is gentler than fluorescein and more specific for devitalized cells.
• Effective for patients who report irritation despite passing dry eye questionnaires.
• Cost-effective predictor of contact lens success, especially for multifocal and scleral lenses.

Interpretation:

Using Lissamine green can enhance patient education and compliance with dry eye protocols, leading to better retention and fewer dropouts.

Limitations:

Conclusion:

Incorporating Lissamine green strips into practice can significantly improve contact lens fitting outcomes and patient satisfaction.