title: A conjunctival mass in the deep superior fornix after a long retained hard contact lens in a patient with keloids.
abstract: OBJECTIVE
  To report a case of an upper eyelid mass induced by a rigid contact lens retained for more than 3 years in the eye of a patient with a general history of keloids and to provide a review of the literature on retained contact lenses.
  
  
  METHODS
  Case report.
  
  
  RESULTS
  A 45-year-old woman with an ophthalmologic history of dry eyes and follicular chronic conjunctivitis presented at our department complaining of irritation, mucous discharge, and contact lens intolerance in her left eye. The ophthalmic examination revealed a visual acuity of 20/20 in both eyes and bilateral blepharitis. A pseudoptosis and an impressive mass growing from the superior tarsal conjunctiva with a lot of mucous discharge were present in the left eye. After a delay of 3.5 years with persisting complaints, a double lid eversion revealed the presence of a hard contact lens retained in the deep fornix of the left eye. After removing the lens and a short period of treatment with local corticosteroids, the mass and the symptoms disappeared.
  
  
  CONCLUSIONS
  In patients who wear or wore contact lenses and present with one-sided chronic irritation and tissue proliferation, the possibility of a retained contact lens should be considered. The previous history of dry eyes and chronic conjunctivitis led us to miss the diagnosis at the first visits, despite persisting complaints. No other cases about the effects of a retained contact lens in a patient with keloids have been previously reported.
authors.affiliation: Department of Ophthalmology and daggerOculenti Contact Lens Practice, Academic Medical Center, Amsterdam, The Netherlands. e.zola@amc.uva.nl
authors.forename: Enrica
authors.initials: E
authors.lastname: Zola
authors.forename: Ivanka J E
authors.initials: IJ
authors.lastname: van der Meulen
authors.forename: Ruth
authors.initials: R
authors.lastname: Lapid-Gortzak
authors.forename: J Mj
authors.initials: JM
authors.lastname: van Vliet
authors.forename: Carla P
authors.initials: CP
authors.lastname: Nieuwendaal
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D001762:Blepharitis / Q000209:etiology; D001763:Blepharoptosis / Q000209:etiology / Q000473:pathology; D003229:Conjunctival Diseases / Q000150:complications* / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D003261:Contact Lenses / Q000009:adverse effects*; D020878:Device Removal; D005141:Eyelid Diseases / Q000150:complications* / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D005260:Female; D006801:Humans; D007627:Keloid / Q000150:complications*; D008875:Middle Aged; D009824:Ointments / Q000627:therapeutic use; D013997:Time Factors
chemical_list: D000305:Adrenal Cortex Hormones; D009824:Ointments