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

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

a

a

Inflammed pinguecula from contact lens wear

Photo by Professor Chua

A 28 year-old woman who wears coloured contact lens for cosmesis complained of discomfort in the left eye. Slit-lamp examination reveals inflammed pinguecula on the temporal aspect as a result of continuous movement of the contact lens against it. She is prescribed one week of G.FML to be used twice daily (morning and night when not wearing the contact lens) to reduce the inflammation and preservative free artificial tear 2-hourly to reduce the friction. The eye settles after 5 days of treatment without the need of excising the pinguecula.

 

Left eye with coloured contact lens.

 

Discomfort in the left limbus as a result of friction between the pinguecula and the edge of the contact lens.

 

Close-up view showing small haemorrhage over the pinguecula as a result of friction between the small vessels

over the pinguecula and the edge of the contact lens.

Atlas of Oculoplastic Surgery