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  • Review of Optometry

Too Much of a Good Thing

 

1/15/2017

This 74-year-old female with a >20-year history of Sjögren’s syndrome, epithelial basement membrane dystrophy and repeated episodes of recurrent erosions of the left cornea presented with a three-month history of decreased vision, foreign body sensation with discomfort, irritation and photophobia OS. She had previously tried a bandage contact lens to help with the discomfort of erosions. Over the previous 10 days, her pain, irritation, visual blur and redness had increased. She saw her primary care doctor for “sinus issues” and was given an oral antibiotic and nasal spray, which aggravated her ocular symptoms. She was told her “eye looks dry.” On presentation, it was noted that she still had a bandage contact lens in her left eye, of unknown but long duration. More



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