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August 1989

Disposable Extended-Wear Contact Lens-Related Keratitis

Author Affiliations

Miami, Fla

Arch Ophthalmol. 1989;107(8):1121. doi:10.1001/archopht.1989.01070020187013

To the Editor.  —Disposable extended-wear soft contact lenses have recently been introduced in the United States (Acuvue, Johnson & Johnson New Brunswick, NJ). These lenses are dispensed in a sterile nonpreserved buffered saline solution. The lenses are intended to be placed in the eye directly from this solution for 1 week, and then disposed of. One theoretical advantage of this type of disposable contact lens is a decrease in contact lens-related microbial keratitis. We recently examined a patient with a bacterial keratitis associated with disposable extended-wear soft contact lens usage.

Report of a Case.  —A 50-year-old woman with a 1-year history of disposable soft contact lens usage routinely removed the contact lenses from their case, irrigated them with a sterile nonpreserved aerosolized saline solution, and inserted them in her eyes. She removed and disposed of her lenses after 7 to 9 days of wearing. The patient presented to us on

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