Ocular disease from wearing contact lenses. A potentially devastating complication

Area of Science:

• Ophthalmology
• Infectious Diseases

Background:

• Contact lens wear is increasingly popular in the US.
• Ocular inflammatory diseases are frequently encountered by physicians.
• Distinguishing noninfectious inflammation from infectious keratitis is critical.

Purpose of the Study:

• To highlight the importance of differentiating between contact lens-related ocular inflammation and infection.
• To outline the key signs and symptoms of infectious keratitis.
• To provide guidance on initial management steps for suspected infectious keratitis.

Main Methods:

• Review of clinical presentation of ocular inflammatory diseases associated with contact lens wear.
• Emphasis on diagnostic signs and symptoms of infectious keratitis.
• Recommendations for immediate management and referral.

Main Results:

• Infectious keratitis presents with pain and vision loss.
• Corneal infiltration, opacification, eyelid swelling, and purulent discharge are key signs.
• Prompt referral to an ophthalmologist is essential if infection is suspected.

Conclusions:

• Early recognition and management of infectious keratitis in contact lens wearers are vital to preserve vision.
• Patients must adhere to strict lens hygiene and avoid homemade solutions.
• Discontinuation of lens wear at the first sign of irritation is recommended.