Case studies in contact lenses part 2 - Ingrowing lash

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A male patient was booked in for a contact lens trial (date of birth 13/06/1939). The last eye exam had been in July 2006. He arrived having had major problems with ingrowing eyelashes in the left eye. He had previously undergone two operations to correct entropion with associated trichiasis from the left upper lid.

Surgery had initially given relief but unfortunately trichiasis had eventually recurred after each operation. Electrolysis had then been attempted but some lashes were proving resistant to treatment. In response to his very frequent visits to a local eye casualty to have his lashes removed, the hospital had prescribed a bandage lens which he had worn without problems for three months, using ocular lubricants as necessary, and which had given him complete relief. As this bandage lens had proved such a successful way to manage his problem, the suggestion was that this was the way forward.