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Corneal Subepithelial Opacities Associated with Inappropriate Contact Lens Care

不當隱形眼鏡保養造成之角膜表皮下混濁

摘要


報告兩例因不當隱形眼鏡保養所造成的角膜表皮下混濁。兩個女性病人在配戴隱形眼鏡後有酸澀、視力模糊、及紅眼的症狀。追問隱形眼鏡保養步驟,兩人均以不恰當的方式使用相同的清絜液MiraFlowR ,因此而導致清潔液殘留於隱形眼鏡裡。在停止戴隱形眼鏡和局部的類固醇使用後,症狀獲得改善。因此我們推論殘留在隱形眼鏡中的MiraFlowR 可能會導致角膜表皮下混濁。

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並列摘要


Purpose-To report two cases of corneal subepithelial opacities, which may be related to Improper lens care by the patients. Methods-Slit-lamp examination and monitoring of contact lens care procedures. Results-1Wo female patients experienced similar symptoms of soreness, blurring, and red eyes after wearing soft contact lenses. Slit-lamp examinations demonstrated numerous subepithelial opacities in the central cornea. Both patients used the same kind of cleaner (MiraFlowR) inappropriately, which resulted in the possibility of residual cleaner remaining in the lenses. The symptoms and signs gradually subsided after discontinued use of soft contact lens and application of topical steroid. Conclusions-Residual MiraFlowR in soft contact lenses may result in corneal subepithelial) opacities.

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