A soft contact lens that is too loose may show all of the following except?

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A soft contact lens that is too loose typically exhibits symptoms that indicate improper fitting, such as excessive lens movement and edge stand-off. When a lens is loose, it often can shift more than it should on the surface of the eye, leading to noticeable movement with blinking. Edge stand-off refers to the lens not conforming closely to the cornea at the edges, which can be observed during fitting assessments.

However, limbal compression is a condition that generally occurs when a lens is too tight rather than too loose. It happens when the lens exerts too much pressure on the limbus (the border between the cornea and sclera), causing visible indentation or compression. Therefore, if a lens is loose, it would not create a situation where limbal compression is present. This understanding helps distinguish between the characteristics of loose versus tight-fitting contact lenses.

Distorted retinoscopy due to a loose lens may occur temporarily as the lens displaces upon blinking, but it doesn’t imply a consistent issue that would indicate improper fitting as seen with edge stand-off and excessive movement. Thus, knowing these characteristics allows practitioners to assess and diagnose fitting problems effectively, ensuring appropriate lens selection for patients.

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