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Contact Lens-Induced Eye Irritation

Ophthalmology
AishaGender: FemaleAge: 23 years (Adult) Chronicity: 6 months

Presenting Complaints & History

  • Frequent eye redness, itching, and dryness after wearing lenses
  • Sensation of a foreign body under the eyelid
  • Mild clear discharge and difficulty keeping lenses for over 3 hours
  • Fear of corneal infections

Clinical Assessment

Contact lens user presenting with giant papillary conjunctivitis signs and dry eyes. Wanted to improve eye comfort to continue occasional lens use.

Diagnostic Investigations: Slit-lamp exam showing mild tarsal conjunctival papules; no corneal epithelial defects.

Homeopathic Therapeutics & Management

Constitutional therapy to reduce eyelid mucosal friction, improve tear flow, and calm conjunctival irritation.

Selected Constitutional Remedies: Silicea and Pulsatilla

Lifestyle & Nutritional Support

Strict lens hygiene, reducing wear time to 6 hours, using preservative-free lubricating drops, and regular lens cleaning.

Clinical Outcome

Follow-up Period: 4 months
  • Complete resolution of redness, itching, and dry eyes
  • No foreign body sensation under the eyelids
  • Able to wear contact lenses comfortably for 8 hours
  • Slit-lamp follow-up confirmed healthy conjunctiva with no papules
Medically reviewed by Dr. Navaneeth K. Unni
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