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An embedded contact lens in the upper lid masquerading as a mass
Journal of the American Optometric Association
|March 1, 1979
Summary
A lost hard contact lens was discovered within a patient's upper eyelid mass three years after it was reported missing. This case highlights the importance of thorough eyelid examination when a patient reports a lost contact lens.
Area of Science:
- Ophthalmology
- Ophthalmic Plastic Surgery
Background:
- Contact lenses are common visual aids, but can occasionally be lost during wear or insertion.
- Foreign bodies in the eye can lead to complications if not identified and removed.
Observation:
- A patient presented with a mass in the right upper eyelid.
- Imaging or physical examination revealed a hard contact lens embedded within the mass.
- The patient had reported the contact lens as lost three years prior.
Findings:
- A retained foreign body (hard contact lens) was identified within an eyelid mass.
- The duration of retention was significant (three years).
Implications:
- This case underscores the necessity of a comprehensive ocular examination, including careful inspection and manipulation of the eyelids (e.g., double eversion), when a patient reports a lost contact lens.
- Ophthalmologists should consider the possibility of retained foreign bodies within eyelid structures, even after a prolonged period.
- Prompt diagnosis and management of retained foreign bodies are crucial to prevent complications such as inflammation, infection, or granuloma formation.