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Pigmentation of the cornea secondary to tinted soft contact lens wear.

Spiteri N, Choudhary A, Kaye S - Case Rep Ophthalmol Med (2012)

Bottom Line: Conclusions.We suspect a poorly fitting CL resulted in localised tear pooling between the CL and cornea, and subsequent iron pigment deposition, similar to that seen with orthokeratology.Cosmetic CLs bought via the Internet can be used in an unsupervised manner, with possible impacts on visual function and potential complications.

View Article: PubMed Central - PubMed

Affiliation: St. Paul's Eye Unit, Royal Liverpool University Hospital, Prescot Road, Liverpool, L7 8XP, UK.

ABSTRACT
Purpose. To report a case of pigmented corneal iron lines following use of tinted soft contact lenses (CL). Methods. A retrospective case report. Results. A 16-year-old girl was referred with suspected CL-related keratopathy OU, having recently switched to tinted soft monthly disposable CLs (8.4/14.0 -3.00 OD, -3.25 OS Aquamarine SofLens Natural Colours, Bausch and Lomb, New York, USA). Both corneas exhibited symmetric superficial corneal pigmented iron lines, which gradually disappeared following discontinuation of CL wear. Conclusions. Pigmented corneal rings have been reported in normal ageing corneas, in certain pathological conditions, and in association with altered corneal topography following LASIK and orthokeratology. We suspect a poorly fitting CL resulted in localised tear pooling between the CL and cornea, and subsequent iron pigment deposition, similar to that seen with orthokeratology. Cosmetic CLs bought via the Internet can be used in an unsupervised manner, with possible impacts on visual function and potential complications.

No MeSH data available.


Related in: MedlinePlus

Line of corneal pigmentation (arrowheads).
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fig1: Line of corneal pigmentation (arrowheads).

Mentions: Best corrected visual acuities (BCVA) were 6/9 OD and 6/5 OS. Both corneas exhibited symmetric superficial corneal pigmented iron lines (Figure 1). No other ocular surface abnormality was present. Following discontinuation of CL wear the pigmented lines disappeared over the subsequent three months and BCVA improved to 6/4 OU.


Pigmentation of the cornea secondary to tinted soft contact lens wear.

Spiteri N, Choudhary A, Kaye S - Case Rep Ophthalmol Med (2012)

Line of corneal pigmentation (arrowheads).
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3350136&req=5

fig1: Line of corneal pigmentation (arrowheads).
Mentions: Best corrected visual acuities (BCVA) were 6/9 OD and 6/5 OS. Both corneas exhibited symmetric superficial corneal pigmented iron lines (Figure 1). No other ocular surface abnormality was present. Following discontinuation of CL wear the pigmented lines disappeared over the subsequent three months and BCVA improved to 6/4 OU.

Bottom Line: Conclusions.We suspect a poorly fitting CL resulted in localised tear pooling between the CL and cornea, and subsequent iron pigment deposition, similar to that seen with orthokeratology.Cosmetic CLs bought via the Internet can be used in an unsupervised manner, with possible impacts on visual function and potential complications.

View Article: PubMed Central - PubMed

Affiliation: St. Paul's Eye Unit, Royal Liverpool University Hospital, Prescot Road, Liverpool, L7 8XP, UK.

ABSTRACT
Purpose. To report a case of pigmented corneal iron lines following use of tinted soft contact lenses (CL). Methods. A retrospective case report. Results. A 16-year-old girl was referred with suspected CL-related keratopathy OU, having recently switched to tinted soft monthly disposable CLs (8.4/14.0 -3.00 OD, -3.25 OS Aquamarine SofLens Natural Colours, Bausch and Lomb, New York, USA). Both corneas exhibited symmetric superficial corneal pigmented iron lines, which gradually disappeared following discontinuation of CL wear. Conclusions. Pigmented corneal rings have been reported in normal ageing corneas, in certain pathological conditions, and in association with altered corneal topography following LASIK and orthokeratology. We suspect a poorly fitting CL resulted in localised tear pooling between the CL and cornea, and subsequent iron pigment deposition, similar to that seen with orthokeratology. Cosmetic CLs bought via the Internet can be used in an unsupervised manner, with possible impacts on visual function and potential complications.

No MeSH data available.


Related in: MedlinePlus