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President Trump is scheduled to be in Philadelphia on Tuesday, September 15, 2020 at The National Constitution Center (NCC) in the Independence Mall area. Increased police presence is anticipated in Center City throughout Tuesday afternoon and evening. Please allow extra time if you are going to Wills Eye. Please be advised of area street closures to vehicles beginning at 1:00PM on Tuesday 9/15. Pedestrian access will also be limited in the area. This is subject to change and area restrictions, which could widen, will be lifted once the President departs the NCC. There are also demonstrations planned for Tuesday 9/15 around Independence Mall as well as City Avenue.

Corneal Complications from Contact Lenses

OVERVIEW

Contact lenses, while safe and effective for the vast majority of people, can cause a variety eye problems. Some are not too dangerous, such as giant papillary conjunctivitis, while others are more serious, such as corneal abrasions, inflammation or infection. When these complications are diagnosed and treated promptly, the results are typically quite good. However, corneal ulceration and scarring can occur and cause temporary or permanent poor vision. Rarely, contact lens wearers can develop a parasitic infection called acanthamoeba, which can be devastating.

DEFINITION

Contact lenses, while safe and effective for the vast majority of people, can cause numerous eye problems such as giant papillary conjunctivitis, new blood vessels in the cornea, corneal abrasions, corneal swelling or infection.

SYMPTOMS

Symptoms depend on the specific problem from none to mild foreign body sensation, itching, redness, decreased contact lens tolerance, mild to severe pain, light sensitivity, mild or severe decreased vision.

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Causes

Allergic reactions or contact lens materials, solutions or protein deposition on the contact lens; trauma; bacterial, viral or parasitic (e.g. acanthamoeba) corneal infections.

Risk Factors

Contact lens overwear, sleeping in contact lenses, showering or using hot tub in contact lenses, ocular trauma.

Complications

Corneal irregularity, corneal abrasion, corneal scarring, corneal thinning, corneal perforation, mild to severe decreased vision and rarely blindness.

Tests and Diagnosis

Slit lamp examination is essential. Corneal scrapings for smears and cultures may be indicated if a corneal infection is suspected.

Treatment

Depends on the specific diagnosis. Most require cessation of contact lens wear, at least temporarily. Problems from contact lens overwear or giant papillary conjunctivitis often improve with a contact lens holiday. Some patients may be able to resume contact lens wear, at which point we usually recommend daily disposable lenses. Corneal infections are treated with appropriate antibiotic, anti-fungal or anti-acanthamoeba medications.

Prevention

Appropriate contact lens wear, including no sleeping, showering, or swimming in contact lenses. Remove contact lenses whenever the eye is red or irritated and seek urgent ophthalmic care if the symptoms persist.