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How to manage pain and fever due to lens use?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I used a contact lens for the very first time and removed it after two minutes because it was burning. It has been a week, and my eye is still hurting. I also have a fever.

Kindly help.

Hello,

Welcome to icliniq.com.

I have read your query and can understand your concern.

Based on your symptoms, persistent eye pain, redness, and fever, after using contact lenses, it is possible that you may have developed infective keratitis or corneal abrasion, especially since this was your first time using contact lenses.

Here are a few important points:

  1. Infection risk: Improper handling or intolerance to lenses can introduce bacteria or cause corneal injury. The presence of fever suggests a possible underlying infection that may require systemic treatment.
  2. Ciprofloxacin (an antibiotic) eye drops: These are antibiotic eye drops and are appropriate as initial treatment. However, if symptoms persist beyond two to three days or worsen, a more potent antibiotic or combination therapy may be necessary.

I will suggest the following:

  1. Stop using contact lenses immediately (which you have already done).
  2. Do not self-medicate further or use over-the-counter drops without a prescription.
  3. Consult an ophthalmologist urgently for a detailed eye examination, including slit-lamp evaluation and possibly a fluorescein stain test to check for corneal damage.
  4. Avoid rubbing the eye and maintain good hygiene.
  5. If you experience decreased vision, increased discharge, light sensitivity, or worsening redness or pain, seek medical attention without delay.

This condition is treatable, but prompt management is essential to prevent complications, including corneal scarring or vision loss.

I hope this helps.

Thank you.

Medically reviewed byiCliniq medical review team

Published At July 31, 2025
Reviewed AtAugust 4, 2025

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