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Retained soft contact lens masquerading as a chalazion: a case report
Pankaj Kumar Agarwal1, Taha Y Ahmed, Charles J M Diaper
1Department of Ophthalmology, Victoria Infirmary, Glasgow, United Kingdom.
Indian Journal of Ophthalmology
|February 16, 2013
Summary
A lost soft contact lens migrated into the eyelid, presenting 13 years later as swelling. This case highlights the importance of considering retained contact lenses in patients with eyelid masses.
Area of Science:
- Ophthalmology
- Ocular Emergencies
- Contact Lens Complications
Background:
- Misplaced contact lenses are frequent ocular emergencies.
- Previous reports detail hard lens migration and retention in the superior fornix and eyelid.
- Soft contact lens migration into the eyelid is less commonly reported.
Observation:
- A patient presented with symptomatic eyelid swelling after a soft contact lens was lost 13 years prior.
- The lost soft contact lens had migrated and become embedded within the eyelid.
- The presentation mimicked a chalazion.
Findings:
- This is the first reported case of a misplaced soft contact lens masquerading as a chalazion.
- The retained soft contact lens caused chronic eyelid inflammation and swelling.
- Diagnosis required thorough ocular surface examination, including double upper lid eversion.
Implications:
- Clinicians should consider retained contact lenses in patients with a history of lost lenses presenting with eyelid swelling or masses.
- Ocular surface examination with lid eversion is crucial for diagnosing such cases.
- Prompt diagnosis and removal of retained contact lenses can prevent chronic complications.
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