Dr. Rahul Vaswani
Ophthalmology (Eye Care)
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Patient's Query
Hello doctor,
I noticed a white cloudy area around the rim of my cornea a couple of days ago with no pain. After a couple of days, I used a rigid gas permeable contact wear. I have now woken up with pain in the same eye and it is now bloodshot around that one side. I decided not to wear the contacts today and I have worn the glasses only. I visited my optometrist and he has prescribed a steroid drop. I am looking for a second opinion. Of note, I have worn glasses for 25 years. I have used the RGP lenses for 12 years. Had a white patch on the edge of the cornea approximately five years back. This was attributed to contact irritation and healed after a few weeks of not wearing RGPs. Please advice.
Hello,
Welcome to icliniq.com.
This is a corneal ulcer. The probable cause is trauma due to lenses or infected contact lens solution. Please do not use the steroid drop. You can have devastating consequences. The steroid drops will give you very mild relief but it will stop healing and promote the growth of the ulcer. Investigations to be done include cultures of lenses and its solution. You should refrain from wearing the contacts in future. I suggest you use spectacles only. I suggest you take the following. Consult your specialist doctor, discuss with him or her and with their consent take the following medicines. Start Moxifloxacin eye drops six times a day. Start Tobramycin eye drops four times a day. Start Carboxymethylcellulose plus Naphazoline eye drops 10 to 12 times a day. Start Homatropine eye drop twice daily. This will cause blurred vision but will give relief. Start Gatifloxacin eye ointment at bedtime. Have this treatment until the ulcer heals completely. Visit an ophthalmologist. Follow up every week.
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Ophthalmology (Eye Care)
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