In RCE/EBMD treatment, when is a bandage contact lens placed?

• A. If not a previous contact lens wearer
• B. If there is an active infection
• C. Always
• D. Never

Answer: (A)

A bandage contact lens is used in this setting to protect a disrupted corneal surface and promote healing after epithelial injury, reducing pain and helping re-epithelialization in recurrent corneal erosion and EBMD. It serves as a protective, lubricated covering over the fragile epithelium while the surface regrows, which is why it’s used once there is an epithelial defect and the cornea can tolerate lens wear.

It isn’t used if there is an active infection, since a lens can harbor organisms and worsen infection; it isn’t applied in every case or never; and the choice hinges on appropriate candidacy and timing. Among the options presented, it’s described as being placed in a patient who is not a previous contact lens wearer, reflecting a scenario where a bandage lens can be used in careful, uncomplicated healing of the epithelial surface. After placement, close follow-up is essential to monitor for infection, lens intolerance, or delayed healing.