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A case of recalcitrant bacterial conjunctivitis
1Moorfields Eye Hospital, and UCL Institute of Ophthalmology, London, UK.
The Practitioner
|February 22, 2014
Summary
Ophthalmologists must consider retained foreign bodies, like contact lenses, as a cause of persistent bacterial conjunctivitis. Prompt referral and examination are crucial for diagnosing and managing sight-threatening contact lens complications.
Area of Science:
- Ophthalmology
- Microbiology
Background:
- Contact lens wear is associated with various ocular complications, from dry eye to microbial keratitis.
- Bacterial conjunctivitis can be recalcitrant, sometimes due to retained foreign bodies.
Observation:
- Patients with red eyes should be questioned about contact lens use.
- Red flag symptoms in contact lens wearers necessitate urgent ophthalmic review.
- Retained contact lenses can cause giant papillary conjunctivitis and ulcerative keratitis.
Findings:
- Retained foreign bodies, including contact lenses, are a potential cause of persistent bacterial conjunctivitis.
- Severe sight-threatening complications like microbial keratitis can arise from contact lens wear.
- Lid eversion and fluorescein staining aid in detecting retained lenses and corneal defects.
Implications:
- Vigilance for retained foreign bodies is essential in managing recalcitrant conjunctivitis.
- Prompt ophthalmological referral is critical for contact lens-related ocular emergencies.
- Comprehensive eye examinations are necessary to prevent vision loss from contact lens complications.
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