[Bilateral infectious keratitis in a patient wearing cosmetic soft contact lenses]

We report a case of an immunocompetent 20-year-old woman, wearing planocosmetic contact lenses to change the color of her eyes, with no contact lens hygiene regimen. She developed a bilateral infectious keratitis. Acanthamoeba and Fusarium solani were isolated in both eyes. Bilateral penetrating keratoplasty was needed because of bilateral corneal perforation. Three months later, bilateral simultaneous phacoemulsification was performed because of a dense cataract and a severe decrease in her vision. Six months after surgery, her best corrected visual acuity was 0.7 in the right eye, and 0.6 in the left eye. Cosmetic contact lenses expose the wearers to the same potential ocular complications as other contact lenses. Wearers must be informed of such complications, which may be sight-threatening. Based on this case, we strongly recommend that all cosmetic contact lens wearers be examined and followed as if they were standard contact lens wearers.