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Embedded hard contact lens: reports of a case
1Department of Ophthalmology, National Taiwan University Hospital, Taipei, R.O.C.
Summary
A rare complication of hard contact lens wear, upper eyelid mass, was successfully treated. Surgical exploration revealed a lost hard contact lens, highlighting the importance of diagnostic techniques for displaced lenses.
Area of Science:
- Ophthalmology
- Ophthalmic Surgery
Background:
- Contact lens wear, particularly with rigid gas permeable lenses, can lead to rare complications.
- Migration of a contact lens into the upper eyelid can cause a mass, presenting as a cosmetic concern.
Observation:
- A patient presented with a cosmetically unacceptable upper eyelid mass after switching to soft contact lenses.
- Computed tomographic scans and keratoscopic changes suggested a foreign body.
- A discharging sinus in the upper forniceal area was noted.
Findings:
- Surgical exploration successfully removed an 8 x 8 mm hard contact lens from the upper eyelid.
- A significant amount of tenacious mucoid discharge was also found.
- The diagnosis was confirmed via surgical intervention.
Implications:
- This case underscores the importance of considering displaced hard contact lenses in patients with upper eyelid masses.
- The double eversion of the upper tarsus technique is crucial for diagnosis in such cases.
- Ophthalmologists should maintain a high index of suspicion for retained foreign bodies in specific clinical scenarios.