{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T12:25:32Z","timestamp":1782735932150,"version":"3.54.5"},"reference-count":34,"publisher":"BMJ","issue":"10","funder":[{"name":"Kornhauser Research Fellowship at The University of Sydney","award":["1"],"award-info":[{"award-number":["1"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Br J Ophthalmol"],"accepted":{"date-parts":[[2025,4,23]]},"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Contact lenses (CLs), used by approximately 140 million people globally, can induce corneal warpage, altering corneal geometry. This impacts corneal imaging, influencing diagnostic assessments, follow-ups and pre-operative evaluations. This systematic review aimed to determine the optimal CL cessation period before corneal imaging.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic literature search was conducted across multiple databases. Studies were included if they assessed corneal stabilisation post-CL cessation by using corneal imaging techniques. Quality was rated using the modified Downs and Black checklist.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifteen studies met the inclusion criteria; 13 prospective observational studies, one retrospective and one observational case series. Five of these studies included a control group. Following the removal of CLs, the included studies reported stabilisation of corneal parameters as follows: for soft CLs, 2\u201311.6 weeks (median 2.1 weeks); for hard CLs, 1\u201322 weeks (median 7.6 weeks); for orthokeratology lenses, 1\u20132 weeks (median 1.6 weeks) and for tinted lenses, 2\u20133 hours. Factors influencing stabilisation included lens material, water content, wear modality, CL fit and patient age. Two studies were found to be of excellent methodological quality, 11 were assessed as good and two as fair. No studies were found to be of poor quality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Corneal stabilisation time post-CL cessation was variable and dependent on the lens type and fit, patient age and method of determining corneal stabilisation. Personalised recommendations and standardised assessments are essential for optimising diagnostic and surgical outcomes. Further research is needed to develop comprehensive guidelines for consistent CL removal protocols.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PROSPERO registration number<\/jats:title>\n                    <jats:p>CRD42023484401.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bjo-2025-327121","type":"journal-article","created":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T13:20:18Z","timestamp":1748265618000},"page":"1099-1108","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Systematic review investigating the time taken for corneal stabilisation following contact lens cessation"],"prefix":"10.1136","volume":"109","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5165-7537","authenticated-orcid":false,"given":"Ali","family":"Abid","sequence":"first","affiliation":[{"name":"The University of Sydney, Faculty of Medicine and Health, Sydney Medical School, Sydney, New South Wales, Australia"},{"name":"School of Clinical Medicine, Univeristy of New South Wales Medicine & Health, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6745-6411","authenticated-orcid":false,"given":"Himal","family":"Kandel","sequence":"additional","affiliation":[{"name":"The University of Sydney, Faculty of Medicine and Health, Sydney Medical School, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6699-1765","authenticated-orcid":false,"given":"Stephanie","family":"Watson","sequence":"additional","affiliation":[{"name":"The University of Sydney, Faculty of Medicine and Health, Sydney Medical School, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,5,26]]},"reference":[{"key":"2025121706501135000_109.10.1099.1","doi-asserted-by":"publisher","DOI":"10.2147\/OPTO.S198637"},{"key":"2025121706501135000_109.10.1099.2","unstructured":"Gurnani B , Kaur K . Contact lenses.2023. Available: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK580554\/"},{"key":"2025121706501135000_109.10.1099.3","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9394(65)92821-7"},{"key":"2025121706501135000_109.10.1099.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2004.05.021"},{"key":"2025121706501135000_109.10.1099.5","doi-asserted-by":"publisher","DOI":"10.1097\/00004397-198602610-00008"},{"key":"2025121706501135000_109.10.1099.6","doi-asserted-by":"publisher","DOI":"10.1016\/S1367-0484(03)00026-2"},{"key":"2025121706501135000_109.10.1099.7","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2020-317547"},{"key":"2025121706501135000_109.10.1099.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2019.02.029"},{"key":"2025121706501135000_109.10.1099.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2006.04.061"},{"key":"2025121706501135000_109.10.1099.10","unstructured":"Federal Trade Commission Consumer Advice . The basics of lasik eye surgery. 2012. Available: https:\/\/consumer.ftc.gov\/articles\/0062-basics-lasik-eye-surgery"},{"key":"2025121706501135000_109.10.1099.11","unstructured":"The Royal College of Ophthalmologists . A patients\u2019 guide to excimer laser refractive surgery. 2011. Available: http:\/\/bmec.swbh.nhs.uk\/wp-content\/uploads\/2013\/03\/EXCIMER-LASER-REFRACTIVE-SURGERY.pdf"},{"key":"2025121706501135000_109.10.1099.12","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"2025121706501135000_109.10.1099.13","doi-asserted-by":"publisher","DOI":"10.1016\/j.clae.2008.02.001"},{"key":"2025121706501135000_109.10.1099.14","doi-asserted-by":"publisher","DOI":"10.1016\/j.clae.2013.07.014"},{"key":"2025121706501135000_109.10.1099.15","doi-asserted-by":"crossref","first-page":"2020","DOI":"10.3892\/mmr.2014.2964","article-title":"Effects of long-term soft contact lens wear on the corneal thickness and corneal epithelial thickness of myopic subjects","volume":"11","author":"Lei","year":"2015","journal-title":"Mol Med Rep"},{"key":"2025121706501135000_109.10.1099.16","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(99)00122-4"},{"key":"2025121706501135000_109.10.1099.17","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcjo.2017.09.003"},{"key":"2025121706501135000_109.10.1099.18","first-page":"177","article-title":"Rigid contact lens decentration: a risk factor for corneal warpage","volume":"16","author":"Wilson","year":"1990","journal-title":"CLAO J"},{"key":"2025121706501135000_109.10.1099.19","first-page":"169","article-title":"Time to resolution of contact lens-induced corneal warpage prior to refractive surgery","volume":"28","author":"Wang","year":"2002","journal-title":"CLAO J"},{"key":"2025121706501135000_109.10.1099.20","doi-asserted-by":"publisher","DOI":"10.1097\/OPX.0b013e31804f8196"},{"key":"2025121706501135000_109.10.1099.21","doi-asserted-by":"publisher","DOI":"10.1038\/s41433-018-0019-1"},{"key":"2025121706501135000_109.10.1099.22","doi-asserted-by":"publisher","DOI":"10.4103\/ijo.IJO_1522_20"},{"key":"2025121706501135000_109.10.1099.23","doi-asserted-by":"publisher","DOI":"10.1111\/j.1755-3768.1990.tb01690.x"},{"key":"2025121706501135000_109.10.1099.24","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2007.136655"},{"key":"2025121706501135000_109.10.1099.25","doi-asserted-by":"publisher","DOI":"10.1097\/01.ICL.0000140637.58027.9B"},{"key":"2025121706501135000_109.10.1099.26","doi-asserted-by":"publisher","DOI":"10.1097\/01.ICL.00000121371.25780.F8"},{"key":"2025121706501135000_109.10.1099.27","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(90)32516-2"},{"key":"2025121706501135000_109.10.1099.28","unstructured":"Mark J. Mannis KZ , Coral-Ghanem C , Kara-Jos\u00e9 N . Contact lenses in ophthalmic practice. New York, NY: Springer, 2006."},{"key":"2025121706501135000_109.10.1099.29","doi-asserted-by":"publisher","DOI":"10.1167\/iovs.09-4798"},{"key":"2025121706501135000_109.10.1099.30","first-page":"779","article-title":"Central corneal endothelial cell changes over a ten-year period","volume":"38","author":"Bourne","year":"1997","journal-title":"Invest Ophthalmol Vis Sci"},{"key":"2025121706501135000_109.10.1099.31","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2016-097347"},{"key":"2025121706501135000_109.10.1099.32","unstructured":"CADTH Optimal Use Reports . Point-of-care testing of international normalized ratio for patients on oral anticoagulant therapy: systematic review and economic analysis. Ottawa (ON) Canadian Agency for Drugs and Technologies in Health; 2014."},{"key":"2025121706501135000_109.10.1099.33","doi-asserted-by":"publisher","DOI":"10.1016\/j.clae.2017.05.009"},{"key":"2025121706501135000_109.10.1099.34","doi-asserted-by":"publisher","DOI":"10.1177\/1120672120949101"}],"container-title":["British Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bjo-2025-327121","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T14:50:45Z","timestamp":1765983045000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjo.bmj.com\/lookup\/doi\/10.1136\/bjo-2025-327121"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,26]]},"references-count":34,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2025,9,23]]},"published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1136\/bjo-2025-327121"],"URL":"https:\/\/doi.org\/10.1136\/bjo-2025-327121","relation":{},"ISSN":["0007-1161","1468-2079"],"issn-type":[{"value":"0007-1161","type":"print"},{"value":"1468-2079","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,26]]}}}