The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Contact lens trauma

Photo by Professor Chua Chung Nen

This young man who was a contact lens wearer complained of pain in his left eye. Examination revealed a whitish lesion with surrounding inflamed conjunctiva in the nasal bulbar conjunctiva. The whitish lesion could be peeled off with a paired of forceps. The inflammation subsided with g. garasone (betamethasone + gentamicin) qds  and avoidance of contact lens after 4 days. The lesion appeared to be the result of rubbing of the contact lens against the conjunctiva as a result of poor contact lens fitting.

 

A whitish lesion over the left nasal conjunctiva.

 

The whitish lesion could be peeled off with a pair of forceps and represented necrotic tissue.

 

The conjunctiva under the whitish lesion.

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