Masking the Red Reflex of Flash Photography With Prosthetic Lenses

The purpose of this case report was to represent the clinical expertise in managing with a patient with visible red fundal reflex on flash photography and its management with a soft prosthetic contact lens (PCL). This unique case report discussed a 31-year-old man complaining of visible red reflex in right eye while taking photographs with flashlight. Ocular history revealed that he is status post intraocular lens implantation and strabismus surgery followed by a nonpenetrating injury with a stick in the right eye 20 years back. The middilated, slow, tonic pupil was making the fundal glow more prominent in bright flashlight. Because cosmesis was the main concern, various types of PCL trials were used. Finally, the red reflex was concealed with a type-D, gray, transparent, iris tinted PCL. Thus, PCL enhanced the aesthetic appearance and created a positive impact on the patient's quality of life and should be considered and prescribed in similar patients.