In which situation should a new lens fitting be considered?

A new lens fitting should be considered when the patient reports discomfort because this can indicate that the current lens is not suitable for their eyes or is not fitting properly. Discomfort may stem from various issues, including improper curvature, incorrect lens material, or an allergic reaction to the lens or the solution used for cleaning. Monitoring for discomfort is vital, as chronic issues can lead to more significant problems like corneal abrasion or irritation.

While a dirty lens can certainly impact comfort and vision quality, it does not necessitate a new fitting if the lens itself is otherwise appropriately prescribed. Regular cleaning and maintenance can resolve issues related to lens hygiene. Similarly, simply wearing lenses for a month does not automatically warrant a new fitting; many lenses are designed for extended wear beyond that timeframe. Lastly, while the wrong color might not satisfy aesthetic preferences, it does not affect the functional fit of the lens. Hence, patient-reported discomfort underscores the need for a reassessment of the fit or type of lens being used.