Cosmetic Contact Lens-related Complications: 9 Cases

Sang Jun Park; Sang Mok Lee; Mee Kum Kim; Young Keun Han; Won Ryang Wee; Jin Hak Lee

doi:10.3341/jkos.2009.50.6.927

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Park, Lee, Kim, Han, Wee, and Lee: Cosmetic Contact Lens-related Complications: 9 Cases

Original Article

J Korean Ophthalmol Soc 2009;50(6):927-935.

Published online: 7 September 2009

DOI: https://doi.org/10.3341/jkos.2009.50.6.927

Cosmetic Contact Lens-related Complications: 9 Cases

Sang Jun Park, MD¹, Sang Mok Lee, MD^1,², Mee Kum Kim, MD^1,³, Young Keun Han, MD^1,², Won Ryang Wee, MD^1,³, Jin Hak Lee, MD^1,^3,⁴

¹Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea

²Department of Ophthalmology, Seoul National University Boramae Hospital, Seoul, Korea

³Seoul Artificial Eye Center, Seoul National University Hospital Clinical Research Institute, Seoul, Korea

⁴Department of Ophthalmology, Seoul National University Bundang Hospital, Seongnam, Korea

Address reprint requests to Sang Mok Lee, MD Department of Ophthalmology, Seoul National University Boramae Hospital #425 Shindaebang 2-dong, Dongjak-gu, Seoul 156-707, Korea Tel: 82-2-870-2413, Fax: 82-2-831-0714, E-mail: lsm10003@chol.com

Received 11 September 2008 Accepted 2 March 2009

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To report the complications resulting from incorrect use of cosmetic contact lenses.

Case summary

The medical records of 9 patients with complications related to cosmetic contact lenses were retrospectively reviewed. All 9 patients had corneal erosion, and 2 patients had corneal epithelial defects. Corneal neovascularization more than 2 mm from the limbus was observed in 3 patients and one of the patients received a permanent impairment of visual acuity. Seven patients were not educated on the management of contact lenses and 2 patients had previous experience using contact lenses. None of the patients acquired any information or proper instructions regarding their cosmetic contact lenses. During the follow-up examination, 5 out of 6 patients had symptom relief after: 1) discontinuance of using the cosmetic contact lenses or 2) proper education of contact lens use with topical antibiotics and artificial tears.

Conclusions

Many cosmetic contact lens users have insufficient information on usage of contact lenses. Providing proper education to cosmetic contact lens users is very important. Cosmetic contact lens users should have ophthalmic checkups on a regular basis. In addition, illegal production and sales of cosmetic contact lenses must be strictly regulated to prevent complications caused by inferior products.

Keywords: Complications, Corneal erosion, Cosmetic contact lens, Limbal insufficiency, Soft contact lens

References

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Figure 1.

Punctate epithelial erosion along the corneal margin (A=right eye; B=left eye).

Figure 2.

Tangential power maps of corneal topography. Note the increased tangential power of the superior cornea (A=right eye; B=left eye).

Figure 3.

(A, B) New vessels from the limbus to center the of the cornea and subepithelial opacity of whole cornea (A=right eye; B=left eye), (C, D) Diffuse punctuate epithelial erosion (C=right eye; B=left eye).

Figure 4.

Ingrowth of new vessels about 2∼3 mm from the superior limbus to center of cornea (A=right eye; B=left eye).

Figure 5.

Ingrowth of new vessels about 4∼6 mm (A) and 2∼3 mm (B) from the superior limbus to the center of the cornea (A=right eye; B=left eye)

Figure 6.

(A) Two corneal epithelial defects with diffuse punctuate epithelial erosion (right eye). (B) Diffuse punctuate epithelial erosion (left eye).

Figure 7.

Inferiorly decentered cosmetic contact lens and tinted area of contact lens blocked the pupil.

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