Corneal Melting and Descemetocele Resulting From Noninfectious Keratitis Related to the Cosmetic Contact Lenses

Lim, Tae Hyung; Lee, Jong Rak; Choi, Kee Yong; Chung, Kyu Hyung; Cho, Beom Jin

doi:10.3341/jkos.2009.50.5.774

“…However, healthy people also currently use colored lenses to change the color or the appearance of their eyes. These lenses are easily available and are sold as cosmetic accessories by unauthorized providers without any medical supervision 111213…”

Section: Discussionmentioning

confidence: 99%

“…These lenses are easily available and are sold as cosmetic accessories by unauthorized providers without any medical supervision. 11 12 13 ]…”

Section: Discussionmentioning

confidence: 99%

Cosmetic soft contact lens associated ulcerative keratitis in Southern Saudi Arabia

Abdelkader

¹

2014

Middle East Afr J Ophthalmol

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Purpose:To review the microbiologic profile, clinical course, treatment, and outcome of patients with cosmetic contact lens (CL)-associated ulcerative keratitis.Materials and Methods:Observational noncomparative case series selected from an ongoing prospective series. Forty-six subjects examined at a corneal specialty practice in Abha, southern Saudi Arabia between April 2012 and June 2013, who presented with corneal stromal infiltrate on slit-lamp examination, were included in the study.Results:All patients were emmetropic, and lenses were worn solely for cosmetic purposes. Nine (19.5%) of 46 CL-wearing patients presented with laboratory-proven infectious keratitis. Pseudomonas was the most common organism (6/9; 66.6%). Staphylococcus species were the second most common, occurring in two (22.2%) of the nine cases. Streptococcus viridans in one case (11%). Laboratory-based medical therapy led to the healing of ulcers in all cases. Thirty-seven (80.4%) patients had sterile infiltrates.Conclusions:Over-the-counter use of cosmetic lenses is rapidly increasing. The easy availability of these lenses is resulting in severe sight-threatening complications in some young emmetropic individuals. Prompt treatment of microbial keratitis is important to prevent vision loss.

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“…However, healthy people also currently use colored lenses to change the color or the appearance of their eyes. These lenses are easily available and are sold as cosmetic accessories by unauthorized providers without any medical supervision [ 2 - 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…The color pigments used in these lenses can also induce allergic reactions or toxic keratopathy and render roughness to the lens surface, thereby adding trauma to the corneal epithelium [ 11 ]. A severe sequela of the use of cosmetic contact lenses is infectious keratitis, which has been reported in individuals who wore contact lenses that were previously worn by an infected lens user [ 2 ]. Our study is the first report on the deposition of the color pigments of tinted lenses onto the corneal epithelium during IPL treatment.…”

Section: Discussionmentioning

confidence: 99%

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Pigment Deposition of Cosmetic Contact Lenses on the Cornea after Intense Pulsed-Light Treatment

Hong

¹

,

Lee

²

,

Lim

³

2010

Korean J Ophthalmol

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We report a case of corneal deposition of pigments from cosmetic contact lenses after intense pulsed-light (IPL) therapy. A 30-year-old female visited our outpatient clinic with ocular pain and epiphora in both eyes; these symptoms developed soon after she had undergone facial IPL treatment. She was wearing cosmetic contact lenses throughout the IPL procedure. At presentation, her uncorrected visual acuity was 2/20 in both eyes, and the slit-lamp examination revealed deposition of the color pigment of the cosmetic contact lens onto the corneal epithelium. We scraped the corneal epithelium along with the deposited pigments using a no. 15 blade; seven days after the procedure, the corneal epithelium had healed without any complications. This case highlights the importance of considering the possibility of ocular complications during IPL treatment, particularly in individuals using contact lenses. To prevent ocular damage, IPL procedures should be performed only after removing the lenses and applying eyeshields.

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Review of Complications Associated With Contact Lenses From Unregulated Sources of Supply

Young

¹

,

Young

²

,

Lakkis

³

2014

Eye &Amp; Contact Lens: Science &Amp; Clinical Practice

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Corneal Melting and Descemetocele Resulting From Noninfectious Keratitis Related to the Cosmetic Contact Lenses

Cited by 4 publications

References 5 publications

Cosmetic soft contact lens associated ulcerative keratitis in Southern Saudi Arabia

Cosmetic soft contact lens associated ulcerative keratitis in Southern Saudi Arabia

Pigment Deposition of Cosmetic Contact Lenses on the Cornea after Intense Pulsed-Light Treatment

Review of Complications Associated With Contact Lenses From Unregulated Sources of Supply

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