Is my eye infection linked to contact lens burns?

Question

Hello doctor,

I have an eye infection with complicated conjunctivitis, according to the private clinic, which was treated with polymyxin B sulfate 10 ml and Trimethoprim ophthalmic solution USP. The meibomian gland area of the eyelid often forms pustules. I have red, dry eyes with watery discharge in both eyes. I had pre-contact lens burns.

I have a previous history of the current medical complaint related to contact lens burns. I have treated cats with eye problems using Tobramycin.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I have gone through your query and understand your concern.

Based on the history you provided, this appears to be a recurrent inflammatory and infectious eyelid margin condition with features suggestive of chronic blepharitis with meibomian gland dysfunction (a persistent, often relapsing, inflammatory condition), possibly complicated by secondary bacterial conjunctivitis.

The repeated formation of pustules along the meibomian gland openings suggests meibomianitis or recurrent styes, which can cause red eyes, foreign-body sensation, dryness, and excessive watering simultaneously.

While polymyxin B with Trimethoprim can help treat common bacterial conjunctivitis (a common contagious eye infection), it does not adequately address underlying meibomian gland dysfunction, lid margin inflammation, or associated dry eye disease. Past contact lens-related irritation may also have contributed to ongoing surface inflammation.

Persistent or recurrent symptoms despite prior antibiotic drops suggest the need for further evaluation, and management may require consistent eyelid hygiene with warm compresses, gentle lid cleaning, lubricating eye drops, and, in some cases, a different topical antibiotic or anti-inflammatory treatment, depending on clinical findings.

It is essential not to use leftover or veterinary eye medications, such as Tobramycin, without proper examination, as inappropriate use can worsen irritation or delay correct treatment.

Please send a clear photograph of both eyes, including close-up images of the eyelid margins, so I can better assess the redness, discharge, and any visible pustules (small, inflamed, pus-filled bumps on the skin) and guide you more accurately on the next steps.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.