Posters

Wedding nightmare

Poster Details

First Author: B.Mrini MOROCCO

Co Author(s): B. Fatiha   E. Amine   C. Wafaa              

Abstract Details

Purpose:

To present the case of a bride who had a bilateral corneal abscess the day after her wedding where she was wearing cosmetic contact lenses.

Setting:

Ophthalmology A, Rabat speciality hospital, Morocco.

Methods:

The patient reports that her makeup artist changed her cosmetic lenses 6 times during the wedding to adapt the color of her eyes with each traditional dress she wore, without any rule of hygiene. The patient came to the emergency and ophthalmologic examination found in the left eye light perception (LP +) in visual acuity, a decreased corneal sensitivity, and a central corneal abscess of 7 mm by 4.5 mm in diameter. The examination of the right eye shows 1/10 in visual acuity, with 2 micro abscesses (1.5 mm diameter and the second one 0.5 mm).

Results:

The corneal scraping has been done and bacteriological sampling was positive and found pseudomonas aeruginosa. The patient took every hour an antibiotic eye drops (vancomycin and ceftazidime). The evolution was favorable (AV OD 8/10 and AV OG 7/10) and the patient kept a cicatricial corneal opacity in the left eye. Local corticosteroids has been started secondarily to reduce the opacity.

Conclusions:

Infectious keratitis after the wearing of cosmetic contact lenses is not uncommon and can have dramatic consequences. Lack of hygiene and maintenance is one of the main risk factors.  The achievement of the visual prognosis must make cosmetic lenses as medical devices, just like other contact lenses.  This implies the need for an initial medical prescription, their distribution by eye care professionals and regular ophthalmic monitoring. The best treatment would be prevention by informing people about the risk of serious incidents occurring with comestic lenses.

Financial Disclosure:

None