CONTRAINDICATIONS TO LENS WEAR

OCULAR REASONS

Binocular problems

If the patient requires horizontal prism, this can not be supplied in contact lenses, therefore may be a contraindication to CL wear.  However, in some cases where small amounts of prism are required in spectacles the patient may do fine without it in contact lenses.  Presumably due to better peripheral fusion and fewer aberrations.

Strabismic patients

A strabismic patient who does not 
have a cosmetic problem when 
wearing spectacles may be very 
disappointed when wearing contact 
lenses because the strabismus is 
more noticeable.