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August 1987

Dendriform Lesions of the Cornea Induced by Soft Contact Lenses

Arch Ophthalmol. 1987;105(8):1021. doi:10.1001/archopht.1987.01060080023012

To the Editor.  —Report of a Case.—A 53-year-old man was referred to us for "keratopathy" in both eyes of approximately one month's duration. An intracapsular cataract extraction had been performed on the right eye in 1974 and on the left eye in 1976. For the last three years the patient had worn Durasoft-3 (Phemfilcon A) (Wesley-Jensen Co, Chicago) contact lenses in both eyes for periods of two to four weeks at a time. The lenses were cleansed with Soft Care (Barnes-Hind, Sunnyvale, Calif) disinfecting solution (thimerosol, edetate disodium, and chlorhexidine gluconate). The patient was taking no systemic medications.Examination disclosed a best corrected visual acuity of 20/200 OD because of chronic cystoid macular edema and 20/25 OS. The contact lenses were free of deposits and fit well. Both corneas demonstrated large, branching, subepithelial dendriform lesions that were 8.0 mm long on the right (Fig 1) and extended from limbus to

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