Ocular disease from wearing contact lenses. A potentially devastating complication.
Because of the continued popularity of contact lenses in the United States, ocular inflammatory diseases are being encountered with increasing frequency by both ophthalmologists and primary care physicians. Distinction between minor noninfectious inflammation and serious, sight-threatening infection is crucial to the proper management of these patients. Symptoms of infectious keratitis are pain and loss of vision. Signs include infiltration or loss of clarity of the cornea, eyelid swelling, and purulent discharge. If an infectious process is suspected, the patient should be referred to an ophthalmologist immediately. If this is not possible, the contact lens should be removed and a culture performed, if possible. Aminoglycoside antibiotic drops should be applied frequently until ophthalmologic consultation is obtained. Patients should be reminded of the need for strict adherence to disinfection techniques and avoidance of homemade saline preparations. They should also be told to discontinue use of contact lenses at the first sign of ocular irritation or inflammation and to report to their physician if inflammation persists.
Grutzmacher
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D000562:Amebiasis / Q000150:complications / Q000209:etiology; D000617:Aminoglycosides; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003261:Contact Lenses / Q000009:adverse effects*; D003316:Corneal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D003320:Corneal Ulcer / Q000209:etiology / Q000382:microbiology; D006801:Humans
D000617:Aminoglycosides; D000900:Anti-Bacterial Agents