Argon laser fenestration of a Softperm contact lens

Contact lens fenestration can increase tear exchange. We describe a case in which a patient with 15 D of against-the-rule astigmatism was fit with a Softperm contact lens but was unable to wear it for more than 1 hour because of corneal edema. After fenestrating the Softperm lens with an argon laser the patient was able to wear her lens for 10 hours without signs of corneal decompensation.