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October 2000

Management of Mid Peripheral Infiltrates in Contact Lens Wearers

Arch Ophthalmol. 2000;118(10):1465-1466. doi:

Dr Cohen1 has in her recent editorial addressed a difficult and controversial topic: the management of a putative "sterile" corneal infiltrate related to contact lens wear. In her discussion, she quotes me as recommending " . . . evaluation in 12 to 24 hours, addition of topical corticosteroids if the process seems to be inflammatory, or microbiological work-up and treatment for infection if symptoms and signs increase in severity."1 I did write of " . . . reevaluation in 24 hours or less with the prerogative [emphasis added] of instilling a corticosteroid . . . ."2

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