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September 1986

Soft Contact Lenses and Corneal Infection

Arch Ophthalmol. 1986;104(9):1287-1289. doi:10.1001/archopht.1986.01050210041022

With the introduction of hydrophilic contact lenses into general clinical use in the 1960s, initial concerns about the possibility of associated ocular infection led to the development of fairly elaborate lens care regimens as required by the Food and Drug Administration. This was in contrast to the rather cavalier attitude toward hard lens hygiene long adopted by practitioner and wearer alike. Although reports of secondary infectious keratitis with therapeutic soft lens use surfaced during this time period,1-3 the high-risk population involved and the overriding therapeutic value of these bandage lenses in treating refractory corneal diseases led to their continued use. There followed something of a grace period in the cosmetic soft lens wearer, from an infectious disease viewpoint, with only infrequent reports of serious ocular infection complicating lens wear.

Over the past several years, however, the situation has changed. There has been an alarming increase in reports of serious

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