A silicone hydrogel contact lens after 7 years of continuous wear

作者：Yesilirmak Nilufer^*; Altmors Dilek D

来源：Contact Lens and Anterior Eye, 2013, 36(4): 204-206.

DOI：10.1016/j.clae.2013.03.001

• Silicone hydrogel contact lens
• Corneal perforation
• Cyanoacrylate glue

Purpose: To report an unusual case with a bandage silicone hydrogel lens that was applied over cyanoacrylate glue application for corneal perforation.
Design: Retrospective, interventional case report.
Methods: A 67-year-old woman with a history of corneal trauma experienced spontaneous corneal perforation in her left eye. Upon arrival, her anterior chamber was flat and Seidel test was positive. After initial treatment with cyanoacrylate adhesive and a bandage silicone hydrogel contact lens, there was no leakage and the anterior chamber was formed at the follow-up period. She was started topical antibiotics.
Results: After 7 years, she came back with the complaint of permanent redness in her left eye with the same silicone hydrogel lens in her eye.
Conclusions: Corneal healing may occur under cyanoacrylate adhesive glue with therapeutic contact lenses and with proper antibiotic application. Silicone hydrogel contact lenses exhibit good efficacy and safety when utilized as a continuous wear therapeutic lens with antibiotics.