In e na ional Jou nal o Clinical Science and Medical Resea ch
ISSN(p in ): 2770-5803, ISSN(online): 2770-582X
Volume 05 Issue 11 No embe 2025
DOI: h ps://doi.o g/10.55677/IJCSMR/V5I11-02/2025, Impac Fac o : 8.005
Page No : 286-287
286 A ailable a : h ps://jou nalo medical.o g/
Bila e al Co neal Abscess Associa ed wi h Cosme ic Con ac Lenses: A Case
Repo
H. Boui1, Z. Filali1, M. A. Hanine2
1Depa men o Oph halmology, Hassan II Mili a y Hospi al, Laayoune, Mo occo.
2Depa men o O o hinola yngology, Hassan II Mili a y Hospi al, Laayoune, Mo occo.
ABSTRACT Published Online: No embe 06, 2025
Cosme ic con ac lenses, al hough popula o hei aes he ic appeal, expose use s o
se ious complica ions such as in ec ious ke a i is¹. We epo a a e case o bila e al
co neal abscess ollowing i s - ime cosme ic lens wea in a heal hy woman. This case
highligh s he isks ela ed o inadequa e hygiene and he lack o egula ion su ounding
hese de ices².
KEYWORDS:
in ec ious ke a i is, cosme ic
con ac lenses, Pseudomonas
ae uginosa, co neal abscess,
p e en ion.
INTRODUCTION
The use o cosme ic con ac lenses, simila o co ec i e
lenses, may lead o se ious ocula complica ions. Among
hem, co neal abscess is an oph halmologic eme gency ha
can endange ision¹. Unlike co ec i e lenses, cosme ic
lenses a e o en eely sold in beau y shops o online wi hou
medical o e sigh , inc easing he isk o misuse and
in ec ion³.
CASE REPORT
A 39-yea -old woman wi h no p io ocula o sys emic
his o y p esen ed o he eme gency depa men wi h bila e al
eye pain, edness, and dec eased isual acui y a e wea ing
cosme ic con ac lenses o one e ening. She epo ed
changing lenses mul iple imes and neglec ing hygiene
ecommenda ions⁴.
OPHTHALMOLOGIC EXAMINATION
Le eye: cen al co neal abscess measu ing 6.5 × 4 mm,
luo escein-posi i e ulce , and +++ an e io chambe
eac ion. Righ eye: wo pe iphe al mic o-abscesses (1.5 mm
a 7 o’clock and 0.5 mm a 8 o’clock) wi h supe icial
punc a e ke a i is and mild an e io chambe in lamma ion
(+). Fundus: no mal bila e ally. Ul asound: no i eous
eac ion. Co neal sc aping g ew Pseudomonas ae uginosa,
he pa hogen mos equen ly implica ed in con ac -lens-
ela ed ke a i is⁵.
Co esponding Au ho : H. Boui
*Ci e his A icle: H. Boui, Z. Filali, M. A. Hanine (2025).
Bila e al Co neal Abscess Associa ed wi h Cosme ic
Con ac Lenses: A Case Repo . In e na ional Jou nal o
Clinical Science and Medical Resea ch, 5(11), 286-287
TREATMENT AND OUTCOME
The pa ien was ea ed wi h hou ly o i ied ancomycin
and ce azidime eye d ops⁶ plus s ic hygiene measu es.
Imp o emen occu ed wi hin se e al days, hough a cen al
co neal sca emained in he le eye. A opical
co icos e oid was subsequen ly in oduced o educe
sca ing⁷ unde close moni o ing.
DISCUSSION
In ec ious ke a i is is he mos se ious complica ion o
con ac -lens wea ¹,⁴. I s incidence depends on lens ype,
hygiene p ac ices, and wea ing ime⁸. Pseudomonas
ae uginosa emains he p edominan o ganism⁵,⁹ due o i s
s ong adhe ence o damaged co neal epi helium and
hyd ophilic su aces.
RISK FACTORS
The majo isk ac o s include⁸,¹⁰: p olonged lens wea (> 8
h/day), poo hand and case hygiene, insing wi h ap wa e ,
sleeping while wea ing lenses, and pu chasing lenses om
un egula ed sou ces. Cosme ic lenses, commonly sold
wi hou p esc ip ion o counseling, lack he s ic egula ions
applied o co ec i e lenses¹¹. Consequen ly, misuse among
young use s inc eases p e en able in ec ions.
THERAPEUTIC CONSIDERATIONS
Managemen elies on in ensi e opical an ibio ic he apy
guided by mic obiological esul s⁶,⁹. Fo i ied eye d ops
(ce azidime, ancomycin, ob amycin, amikacin) cons i u e
he s anda d ini ial egimen⁶. Co neal sc aping is essen ial
o bo h diagnosis and imp o ed d ug pene a ion⁸. Topical
H. Boui e al, Bila e al Co neal Abscess Associa ed wi h Cosme ic Con ac Lenses: A Case Repo
287 A ailable a : h ps://jou nalo medical.o g/
co icos e oids may be in oduced a e in ec ion con ol o
limi sca ing⁷,¹².
PREVENTION AND REGULATION
P e en ion equi es hygiene educa ion, p o essional i ing,
and egula oph halmologic ollow-up¹¹. Cosme ic lenses
should be classi ied as medical de ices and dis ibu ed only
h ough egula ed channels⁴,¹³. Public awa eness campaigns
could ma kedly educe p e en able ision- h ea ening
ke a i is.
CONCLUSION
Bila e al co neal abscess seconda y o cosme ic con ac -lens
wea ep esen s a p e en able bu po en ially blinding
condi ion. This case unde sco es he impo ance o public
educa ion, egula ed sales, and p o essional supe ision.
Ul ima ely, p e en ion h ough awa eness and legisla ion
emains he key o educing such complica ions⁴,¹¹,¹³.
ICONOGRAPHY
Figu e 1 (A). Righ eye wi h wo pe iphe al mic o-
abscesses a he 7 and 8 o’clock me idians (1.5 mm and 0.5
mm diame e , espec i ely).
Figu e 2 (B). Le eye showing a la ge cen al co neal
abscess measu ing 7 × 4.5 mm.
Figu e 3 (C). Righ eye wi h mild supe icial punc a e
ke a i is isible on luo escein s aining, wi hou ulce a ion.
Figu e 4 (D). Le eye displaying a cen al luo escein-
posi i e co neal ulce .
Au ho Con ibu ions
D . BOUI Ha im: concep ion, da a analysis, manusc ip
d a ing.
D . FILALI Zineb: da a collec ion, c i ical e ision.
D . Hanine Mohamed Amine: da a collec ion, c i ical
e ision.
All au ho s app o ed he inal e sion o he manusc ip .
Con lic o In e es S a emen
The au ho s decla e no con lic o in e es ela ed o his
s udy.
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