• limbic keratoconjunctivitis
• bandage contact lens

The typical patient with superior limbic keratoconjunctivitis (SLK) is a woman aged between 20 and 60 years of age with chronic red and irritable eyes.¹ Although both eyes are usually affected, the condition maybe asymmetrical.¹ After episodes of exacerbation and remission it usually resolves. The patient may also have abnormal thyroid function.²

SLK has been treated with silver nitrate or thermal cauterisation of the superior bulbar conjunctiva, pressure patching, and large diameter bandage contact lenses (BCL), topical trans-retinoic acid 0.1%, and recession or resection of the superior bulbar conjunctiva.^{1, 3} Over 50% of patients with SLK are said to have keratoconjunctivitis sicca⁴ and recently upper punctal plugs have been used to treat SLK.⁵

We report two cases in which a unilateral BCL wear ameliorated the symptoms of bilateral SLK and a possible explanation is discussed.