Contact lens, hyperopia and endothelial changes. A case report.

Abstract:

INTRODUCTION:We report on a 62-year-old healthy woman who suffered from bilateral predescemetic opacities, where the underlying disorder could not be identified. She had bilateral keratopathy with corneal edema, a diffuse predescemetic avascular haze and deszemetic folds. Because of high hyperopia (right +7.50/left +7.75) she weared soft contact lenses for years. METHODS:Removal of contact lenses. Treatment with local steroids and tear substitutes. RESULTS:One year after cessation of contact lenses VA recovered from RE 0.3/LE 0.1 to 0.8/0.63, the deep stromal opacity cleared up, the corneal edema recessed slightly. DISCUSSION:The differential diagnosis concludes either a pure contact lens change that is not completely reversible or a possible posterior polymorphous dystrophy that worsens with long-term contact lens wear and improves on cessation.

journal_name

Int Ophthalmol

authors

Roters S,Severin M,Konen W,Szurman P,von Domarus D,Krieglstein GK

doi

10.1023/b:inte.0000018521.88103.17

subject

Has Abstract

pub_date

2004-01-01 00:00:00

pages

13-7

issue

1

eissn

0165-5701

issn

1573-2630

journal_volume

25

pub_type

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