HomeAnswersOphthalmology (Eye Care)contact lensWill contact lens cause white dots in the cornea?

I have a small white dot on the cornea after contact lens usage. Why?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At March 28, 2020
Reviewed AtJanuary 16, 2024

Patient's Query

Hello doctor,

I am a 66-year old male with good health. I wear contact lens, Air Optix day and night only on the left eye (PWE-10.75 BC 8.6 DIA 13.8). I am currently on Vigamox. I am getting pain in my eyes. As a result, I am wearing my glasses mostly and my contact lenses sparingly. The problem is I must have got a grain of sand or cement under my contact and had continued to work. When I pulled my contact, I noticed there was a tiny whitish dot on the cornea in the area of the iris. I can email you an image but I do not see a way to attach a jpg at this time. The tiny white dot has not gone away. It has been a week now. I have no vision problems. I need a consultation.

Answered by Dr. Rahul Vaswani

Hi,

Welcome to icliniq.com.

It seems to be a corneal ulcer. Absolutely discontinue wearing contacts (do not throw them, they will be needed for bacterial culture later on). Start Vigamox eye drop 12 times a day i. e every one hour (buy a fresh vial), Amikacin eye drop six times a day i. e every two hours, Homide eye drop at bedtime (will cause blurring of vision but relaxes pain). Use Refresh tears eye drop six times a day. At bedtime Occupol eye ointment inside the eye. Do not touch ur eye if not required. While bathing try to shut your eyes tightly. See an ophthalmologist in person asap.

Patient's Query

Hi doctor,

I understand most of this. You are asking me to use both Vigamox and Amikacin? If I have no pain, can I avoid using the Homide eye drops? I am in an awkward position and probably cannot see an ophthalmologist in person for some time. Will this go away on its own and how long? If continued communication is necessary, the cost is not an issue. But how do I contact you?

Thank you.

Answered by Dr. Rahul Vaswani

Hi,

Welcome back to icliniq.com.

Yes, use both drops. Vigamox eye drops every one hour. Amikacin eye drops every two hours. If both have to be used simultaneously keep 15 minutes interval between them. Homide can be avoided but use it if pain starts. Use Refresh tears eye drop six times a day. Occupol eye ointment at bedtime for seven days. You can contact me through this portal, you can video call me through this portal after seven days for follow-up.

Thank you.

Patient's Query

Hi doctor,

I will travel for the medication tomorrow and keep you informed.

Thank you.

Answered by Dr. Rahul Vaswani

Hi,

Welcome back to icliniq.com.

Rest all is ok, but the Amikacin injections are not suitable. You start all medicines except Amikacin right now because injectable Amikacin concentrations are very strong.

Thank you.

Patient's Query

Hi doctor,

So should I use the Ootomixin at bedtime?

Polimixina 10,000 U.I. / Neomicina 3.5 mg / Hydrocortisone 10 mg.

Thank you.

Answered by Dr. Rahul Vaswani

Hello,

Welcome back to icliniq.com

Yes, you can use it, but I would prefer without Hydrocortisone if possible and see an ophthalmologist as soon as possible in person.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Rahul Vaswani
Dr. Rahul Vaswani

Ophthalmology (Eye Care)

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