Abstract
Introduction: We report on a 62-year-old healthy woman who suffered from bilateral predescemetic opacities, where the underlying disorder could not be identified. She had bilateral keratopathy with corneal edema, a diffuse predescemetic avascular haze and deszemetic folds. Because of high hyperopia (right +7.50/left +7.75) she weared soft contact lenses for years. Methods: Removal of contact lenses. Treatment with local steroids and tear substitutes.Results: One year after cessation of contact lenses VA recovered from RE 0.3/LE 0.1 to 0.8/0.63, the deep stromal opacity cleared up, the corneal edema recessed slightly. Discussion: The differential diagnosis concludes either a pure contact lens change that is not completely reversible or a possible posterior polymorphous dystrophy that worsens with long-term contact lens wear and improves on cessation.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Affra RC. Grayson's diseases of the cornea, 3rd edn. St Louis Mosby Year Book, 1991: 1063–1090.
Kaufman HE, Barron BA, McDonald MB. The cornea, 2nd edn. Butterworth-Heinemann, 1998.
Laganowski HC, Sherraard ES, Muir MG. The posterior corneal surface in posterior polymorphous dystrophy: A specular microscopical study. Cornea 1991; 10: 224–232.
Remeijer L, van Rij G, Beekhuis H, Polak B, van Nes J. Deep corneal stromal opacities in long term contact lens wear. Ophthalmology 1990; 97: 281–285.
Kilp H, Konen W, Zschausch B, Lemmen K. Tiefe und hartnäckige Hornhautparenchymschäden nach kontaktlinsen und ihr Verlauf. Fortschr Ophthalmol 1982; 79: 116–117.
Bonanno J, Polse K. Corneal acidosis during contact lens wear: Effects of hypoxia and carbon dioxide. Invest ophthalmol Vis Sci 1987; 28: 1515–1519
Göbbels M, Wähning A, Spitznas M. Endothelial function in contact lens induced deep stromal opacities. Fortschr Ophthalmol 1989; 86: 448–450.
Stälä K, Vasara K, Vesti E, Ruusuvaara P. Effects of longterm contact lens wear on the corneal endothelium. Acta ophthalmol Scan 1998; 76: 299–303.
Stocker EG, Schoessler JP. Corneal endothelial polymegatism induced by PMMA contact lens wear. Invest Ophthalmol Vis Sci 1985; 26: 857–863.
Siburg ME, Datiles MB 3d, Kashima K, Mc Cain L, Kracher G. Specular microscopy studies on the corneal endothelium after cessation of contact lens wear. Cornea 1991; 10: 395–401.
Hoang-Xuan T, Laroche HM, Robin H, Ullern M, Bron A, Sabatier P, Durand. Complication corneenne pseudodystrophique des lentilles de contact. J Fr Ophthalmol 1994; 17(4): 231–237.
Pimendes D, Steele CF, McGhee CN, Bryce IG. Deep corneal stromal opacities associated with long term contact lens wear. Br J Ophthalmo1996; 80: 21–24.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Roters, S., Severin, M., Konen, W. et al. Contact Lens, Hyperopia and Endothelial Changes. Int Ophthalmol 25, 13–17 (2004). https://doi.org/10.1023/B:INTE.0000018521.88103.17
Issue Date:
DOI: https://doi.org/10.1023/B:INTE.0000018521.88103.17