Features

Case study: Aftercarelessness

Clinical Practice
Farah Awan presents a case demonstrating the perils of avoiding aftercare and the usefulness of smartphone cameras in practice

Female patient HG, age 65, presented as a PEARS patient on 16.03.2017 complaining of difficulty removing her right contact lens for approximately the last two weeks, only succeeding in doing so after a period of around seven days continuous wear. The iris appeared to be bluish in colour upon removal, while the LE iris was its usual brown.

Upon questioning, HG stated there was initial soreness, that had now subsided, but no pain. The eye was slightly sticky upon waking and she felt that there was minimal vision in the right eye at present. HG had no back up glasses and presented wearing her left RGP contact lens as her only means of correction. The last sight test and aftercare had been 20 years ago and, yes, the RGP contact lenses were also 20 years old!

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