Reusable soft daily wear contact lenses (CLs) remain popular and were fit to just over half of all wearers in the most recent international CL prescribing survey. Unlike daily disposable CLs, reusables require cleaning and disinfecting after every use, along with storage in a CL case. These additional requirements add a number of steps to the daily wear and care routine, increasing the opportunities for CL wearers to exhibit non-compliant behaviour. The impact of non-compliance ranges from poor lens comfort through to potentially sight-threatening infective keratitis. The coronavirus pandemic has refocused the profession on the importance of hand hygiene in particular, and the need for promoting safe CL wear in general. This review summarises typical non-compliant behaviour related to reusable CLs, and examines strategies and opportunities to better support wearers. Patient education has a central role in encouraging compliant behaviour, although patient recall of information is low, and personal belief systems may result in continuation of non-compliant behaviour despite awareness of the risks. CL care solutions are required for the daily disinfection of lenses, however misuse of multipurpose solutions (MPS) and hydrogen peroxide (H₂O₂)-based care systems can challenge their ability to be fully efficacious. Standard efficacy testing is reviewed, with consideration of how well current protocols model real-world use of CL solutions. Although some recommendations are in place for the inclusion of additional variables such as lens cases, CL materials, organic soil and efficacy against Acanthamoeba, opportunity still exists to reevaluate global standards to ensure consistency of testing in all markets. Finally, potential future innovations are discussed which may further support increased safety in reusable lens wear through novel antimicrobial additions to both CL materials and cases.

在最近的国际 CL 处方调查中，可重复使用的软性日戴隐形眼镜 (CL) 仍然很受欢迎，并且适合所有佩戴者的一半以上。与日常一次性 CL 不同，可重复使用的物品每次使用后都需要清洁和消毒，并存放在 CL 盒中。这些额外要求为日常穿着和护理程序增加了许多步骤，增加了 CL 佩戴者表现出不合规行为的机会。不依从的影响范围从镜片舒适度差到可能威胁视力的感染性角膜炎。冠状病毒大流行使该行业重新关注手部卫生的重要性，以及总体上促进安全佩戴 CL 的必要性。本评论总结了与可重用 CL 相关的典型不合规行为，并研究更好地支持佩戴者的策略和机会。尽管患者对信息的回忆很低，但患者教育在鼓励顺从行为方面发挥着核心作用，尽管意识到风险，但个人信念系统可能会导致不顺从行为的继续。镜片的日常消毒需要 CL 护理液，但误用多用途溶液 (MPS) 和过氧化氢 (H基于₂ O ₂ ) 的护理系统可能会挑战其完全有效的能力。审查了标准功效测试，并考虑了当前协议对 CL 解决方案的实际使用进行建模的程度。尽管一些建议已包含其他变量，例如镜片盒、CL 材料、有机土壤和对棘阿米巴的功效，但仍有机会重新评估全球标准以确保所有市场的测试一致性。最后，讨论了潜在的未来创新，这些创新可能通过向 CL 材料和外壳添加新型抗菌剂来进一步支持可重复使用镜片佩戴的安全性。