Giant jelly bump deposits on therapeutic contact lens: an unusual finding following ptosis surgery. Issue 9 (14th September 2022)

• Record Type: Journal Article
• Authors: Agarwal, Ayushi; Murthy, Somasheila I; Bothra, Nandini; Naik, Milind N
• Is Part Of: BMJ case reports. Volume 15:Issue 9(2022)
• Publication Date: 2022-09-14
• Subjects: Ophthalmology -- Medical management; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2022-252504
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : The authors report two cases of unusually large deposits on their therapeutic bandage contact lens (BCL) following uneventful surgery for congenital ptosis. The first case presented at 6 weeks with decreased vision, large jelly-bump deposits over the contact lens and sterile corneal infiltrates. The infiltrates rapidly resolved with restoration of vision following contact lens removal and topical antibiotics. The second case presented 2 weeks after surgery with visual loss and similar deposits but with no corneal involvement. Following replacement of BCL and topical lubricants, her vision improved to 20/20. Studies on the role of BCL in ptosis surgery are scarce with literature supporting its use for ocular surface protection and minimising postoperative discomfort. The authors hypothesise impaired blink mechanism as the accelerating factor for this unusual occurrence in the early postoperative period and recommend frequent replacement of the contact lens and a closer follow-up in all these cases.