A 45-YEAR-OLD man was seen in the neuro-ophthalmology clinic for evaluation of bilateral involuntary eyelid closure in bright light, which had been occurring periodically for the past 8 years. He had received botulinum toxin injections 7 years earlier at another institution, which he claimed were not effective. He had previously worn soft contact lenses but not for the past 2 years. Findings from his medical history were normal, and he was receiving treatment with trazodone hydrochloride and clonazepam for a psychiatric disorder.
Kruger SJ, Mindel JS, Friedman AH. A Lost Contact Lens and Actinomyces Colonization in an Asymptomatic Patient. Arch Ophthalmol. 2000;118(4):586-587. doi:10.1001/archopht.118.4.586