ContentsSynopsisCodesLook ForDiagnostic PearlsDifferential Diagnosis & PitfallsBest TestsManagement PearlsTherapyReferencesInformation for PatientsView all Images (5)
Emergency: requires immediate attention
Contact lens solution toxicity - External and Internal Eye
Print
Other Resources UpToDate PubMed
Emergency: requires immediate attention

Contact lens solution toxicity - External and Internal Eye

Print Patient Handout Images (5)
Contributors: Brandon D. Ayres MD, Christopher Rapuano MD, Harvey A. Brown MD, Sunir J. Garg MD, Lauren Patty Daskivich MD, MSHS
Other Resources UpToDate PubMed

Synopsis

As the name implies, contact lens solution toxicity occurs only in patients who wear contact lenses. This toxicity is very often associated with improper contact lens wear or poor contact lens hygiene. The more common form of contact lens toxicity is caused by contact lens overwear (often sleeping in contact lenses) leading to corneal hypoxia. This will lead to rapid decline in vision associated with ocular pain, redness, and light sensitivity. Chronic hypoxia will cause corneal scarring and vascularization. The second type of contact lens toxicity was classically associated with the preservative thimerosal but can be seen with any contact lens solution. With this type of toxicity, patients will complain of ocular discomfort and foreign body sensation. Patients may notice reduced vision, especially when trying to use their glasses and will typically present with severe pain, light sensitivity, and often reduced vision.

Codes

ICD10CM:
H18.829 – Corneal disorder due to contact lens, unspecified eye

SNOMEDCT:
397561005 – Contact lens overwear syndrome

Look For

Subscription Required

Diagnostic Pearls

Subscription Required

Differential Diagnosis & Pitfalls

Best Tests

Subscription Required

Management Pearls

Subscription Required

Therapy

Subscription Required

References

Subscription Required

Last Updated: 10/24/2016
Copyright © 2019 VisualDx®. All rights reserved.
Emergency: requires immediate attention
Contact lens solution toxicity - External and Internal Eye
Print 5 Images
View all Images (5)
(with subscription)
Contact lens solution toxicity : Eye pain, Photophobia, Contact lens wearer, Conjunctival injection
Clinical image of Contact lens solution toxicity
Copyright © 2019 VisualDx®. All rights reserved.