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Deposits of oxfloxacin eyedrop on the contact lens

Photo by Professor Chua

A 70 year-old woman who had been wearing a left bandage contact lens for pseudophakic bullous keratopathy for the past 4 years complained of pain. She was found to have hypopyon and a small corneal ulcer. The bandage lens was discontinued and the ulcer was treated with hourly G.Oxfloxacin as a monotherapy. There was no growth from the ulcer. The ulcer and hypopyon resolved after one week and a new contact lens was inserted. A week later, she was alarmed to find the appearance of a round white opacity over the centre of the cornea. Slit-lamp examination showed this to be deposits from the G. Oxfloxacin eyedrop. The eyedrop was discontinued.

 

Left hypopyon and bullous keratopathy in a patient wearing bandage contact lens.   Resolution of the hypopyon with monotherapy. However, the eye was uncomfortable from bullous keratopathy.   Whitish lension over the centre of the cornea.   Deposits on the contact lens.

Atlas of Oculoplastic Surgery