Contact lens-associated chemical burn

Area of Science:

• Ophthalmology
• Corneal Science
• Contact Lens Technology

Background:

• Cosmetic contact lenses, particularly novelty or bizarre-effect types, are increasingly popular.
• Improper handling and use of contact lenses can lead to serious ocular complications.
• Adherence to manufacturer guidelines is crucial for safe contact lens wear.

Purpose of the Study:

• To report a case of bilateral corneal epithelial defects resulting from incorrect use of cosmetic hydrogel contact lenses.
• To highlight the potential risks associated with non-compliance with contact lens usage instructions.
• To emphasize the importance of proper lens care and insertion techniques.

Main Methods:

• Case report of a young male patient presenting with ophthalmic symptoms.
• Clinical examination to assess corneal health and identify defects.
• Review of the patient's contact lens usage and adherence to manufacturer guidelines.

Main Results:

• The patient presented with bilateral corneal epithelial defects after wearing cosmetic hydrogel contact lenses.
• The defects occurred due to failure to neutralize the storage solution before lens insertion.
• Hospital treatment was required for 4 days, with no long-term sequelae reported.

Conclusions:

• Incorrect use of cosmetic hydrogel contact lenses, specifically neglecting storage solution neutralization, can cause significant corneal injury.
• Patient education on proper contact lens hygiene and manufacturer guidelines is essential to prevent such adverse events.
• Prompt medical attention is necessary for managing corneal epithelial defects to ensure favorable outcomes.