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Contact lens induced severe epithelial disruption. A case report
A Pinckers1, A L Aandekerk, V Renardel de Lavalette
1Department of Ophthalmology, St. Radboudziekenhuis, University of Nijmegen, The Netherlands.
International Ophthalmology
|May 1, 1989
Summary
Severe epithelial disruption occurred in a patient wearing MMA/VP70 contact lenses. Switching to Boston IV lenses and a different care system led to successful recovery and lens wear.
Area of Science:
- Ophthalmology
- Corneal Science
- Contact Lens Technology
Background:
- Contact lenses, particularly rigid gas permeable (RGP) lenses, are essential for correcting various visual impairments.
- Material advancements in contact lenses aim to improve oxygen permeability and patient comfort.
- Proper lens care and maintenance are crucial for preventing ocular complications.
Observation:
- A patient experienced bilateral severe disruption of the corneal epithelium.
- This adverse event was temporally associated with the use of specific Methacrylate-Acrylate/Vinylpyrrolidone 70 (MMA/VP70) contact lenses.
- The patient was utilizing a particular contact lens care system concurrently.
Findings:
- Complete resolution of the epithelial disruption was achieved upon discontinuation of the MMA/VP70 contact lenses and their associated care system.
- Subsequent successful fitting with Boston IV contact lenses, a different material, was accomplished.
- A new, distinct contact lens care system was employed with the Boston IV lenses.
Implications:
- The findings suggest a potential material sensitivity or incompatibility with the MMA/VP70 lens formulation or the specific care solution used.
- This case highlights the importance of considering individual patient responses to different contact lens materials and care systems.
- Successful management involved identifying and removing the offending agent and re-fitting with alternative, well-tolerated options, underscoring a personalized approach in contact lens practice.