Corneal infiltrates and extended-wear contact lenses.
Corneal infiltrates are a relatively rare but potentially serious complication of extended-wear contact lenses. Clinical experience with a large population of extended-wear patients suggested that these infiltrates have a characteristic location and appearance which may aid in diagnosis and management. The records of 51 patients (54 eyes) with extended-wear contact lenses and corneal infiltrates were reviewed. Nearly all the infiltrates were in the peripheral cornea and 67% were located superiorly, beneath the upper lid. No permanent visual loss resulted and all patients resumed extended-wear of contact lenses following a period of appropriate management. The clinical features, management, and possible etiologies are discussed. The sample reported herein is the largest, to date, of any reported in the ophthalmic literature.
D000293:Adolescent; D000328:Adult; D000368:Aged; D003262:Contact Lenses, Extended-Wear / Q000009:adverse effects*; D003263:Contact Lenses, Hydrophilic / Q000009:adverse effects*; D003315:Cornea / Q000473:pathology*; D003316:Corneal Diseases / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged