43. “Pink Eye” in a Contact Lens Wearer

  1. Christopher P. Holstege MD2,3,4,
  2. Alexander B. Baer MD2,5,
  3. Jesse M. Pines MD, MBA, MSCE6,7 and
  4. William J. Brady MD8,9,10
  1. Chris S. Bergstrom MD, OD1 and
  2. Alexander B. Baer MD2,5

Published Online: 3 AUG 2011

DOI: 10.1002/9781444397994.ch43

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

How to Cite

Bergstrom, C. S. and Baer, A. B. (2011) “Pink Eye” in a Contact Lens Wearer, in Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition (eds C. P. Holstege, A. B. Baer, J. M. Pines and W. J. Brady), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444397994.ch43

Editor Information

  1. 2

    Division of Medical Toxicology, University of Virginia School of Medicine, Charlottesville, VA, USA

  2. 3

    Blue Ridge Poison Center, University of Virginia School of Medicine, Charlottesville, VA, USA

  3. 4

    Departments of Emergency Medicine & Pediatrics, University of Virginia School of Medicine, Charlottesville, VA, USA

  4. 5

    Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA

  5. 6

    Center for Health Care Quality, George Washington University, Washington, DC, USA

  6. 7

    Departments of Emergency Medicine and Health Policy, George Washington University, Washington, DC, USA

  7. 8

    Department of Emergency Medicine, University of Virginia, Charlottesville, VA, USA

  8. 9

    Center for Emergency Management, University of Virginia Health System, Charlottesville, VA, USA

  9. 10

    Charlottesville-Albemarle Rescue Squad & Albemarle County, Fire Rescue, Charlottesville, VA, USA

Author Information

  1. 1

    Department of Ophthalmology, Emory University, Atlanta, GA, USA

  2. 2

    Division of Medical Toxicology, University of Virginia School of Medicine, Charlottesville, VA, USA

  3. 5

    Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA

Publication History

  1. Published Online: 3 AUG 2011
  2. Published Print: 12 AUG 2011

ISBN Information

Print ISBN: 9781444333473

Online ISBN: 9781444397994

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Keywords:

  • Case 43, “Pink Eye” in a contact lens wearer;
  • 27-year-old soft contact lens wearer - complaints of redness, blurred vision, pain and photophobia in right eye;
  • patient, admitting to “overwearing” contact lenses - and sleeps with them on;
  • physical examination, visual acuity - reduced to 20/100 in right eye;
  • pupil examination, normal - conjunctiva injected, 4 mm oval, white, fluffy opacity on cornea;
  • slit-lamp examination, revealing - cell and flare, in anterior chamber;
  • iris and lens detail - obscured by opacity, otherwise normal;
  • appropriate management for this condition