title: Ocular complications associated with the use of cosmetic contact lenses from unlicensed vendors.
abstract: OBJECTIVE
  To call attention to the unauthorized sale of cosmetic contact lenses, resulting in ocular complications. DESIGN Observational case report.
  
  
  METHODS
  Retrospective, observational, clinical practice setting.
  
  
  RESULTS
  Six patients (five female and one male) were seen urgently for acute eye pain and redness after wearing cosmetic plano contact lenses. None of the patients had previously worn a contact lens or spectacle correction. None of the lenses were dispensed by eye care professionals. One patient developed pseudomonal keratitis, ultimately requiring penetrating keratoplasty for visual rehabilitation.
  
  
  CONCLUSIONS
  Colored contact lenses are being dispensed without a prescription or fitting from unlicensed vendors, such as cosmetics, convenience, and accessory stores. Lenses are sold individually and without care instructions. Consequently, uninformed lens wearers are experiencing acute, vision-threatening infections and inflammation.
authors.affiliation: Division of Ophthalmology, MetroHealth Medical Center, Cleveland, OH. tsteinemann@metrohealth.org
authors.forename: Thomas L
authors.initials: TL
authors.lastname: Steinemann
authors.forename: Usha
authors.initials: U
authors.lastname: Pinninti
authors.forename: Loretta B
authors.initials: LB
authors.lastname: Szczotka
authors.forename: Richard A
authors.initials: RA
authors.lastname: Eiferman
authors.forename: Francis W
authors.initials: FW
authors.lastname: Price
mesh_terms: D000293:Adolescent; D000328:Adult; D000900:Anti-Bacterial Agents; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D003233:Conjunctivitis, Allergic / Q000188:drug therapy / Q000209:etiology*; D003261:Contact Lenses / Q000009:adverse effects*; D003358:Cosmetics; D018795:Device Approval / Q000331:legislation & jurisprudence; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D015818:Eye Infections, Bacterial / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D015863:Iridocyclitis / Q000188:drug therapy / Q000209:etiology*; D007634:Keratitis / Q000382:microbiology* / Q000601:surgery; D015948:Keratoplasty, Penetrating; D008297:Male; D011552:Pseudomonas Infections / Q000209:etiology* / Q000601:surgery; D012189:Retrospective Studies
chemical_list: D000900:Anti-Bacterial Agents; D000893:Anti-Inflammatory Agents; D003358:Cosmetics