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