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A 24-year-old contact lens wearer with unilateral vision loss requiring penetrating keratoplasty
Digital Journal of Ophthalmology 2019
Volume 25, Number 2
June 30, 2019
DOI: 10.5693/djo.03.2019.06.001
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Jonathan T. L. Lee, MBBS, BMedSc | Department of Ophthalmology, Alfred Health, Melbourne, Victoria, Australia
Chengde Pham, MBBS, BMedSci | Department of Ophthalmology, Alfred Health, Melbourne, Victoria, Australia
Edward Greenrod, MBBS, FRANZCO | Department of Ophthalmology, Alfred Health, Melbourne, Victoria, Australia
History
A 24-year-old myopic woman from rural Victoria who wore extended-wear soft contact lenses presented at Alfred Health, Melbourne, Australia, with a 2-week history of left eye irritation, redness, photophobia, and reduced visual acuity. She denied sleeping while wearing lenses, trauma, or agricultural exposure. She had been treated with topical ciprofloxacin 0.3% drops without improvement. There was a history of travel to Vietnam but only to coastal city centers. Initial symptoms developed in Australia prior to traveling to Vietnam, where they became progressively worse.
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