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Pigment Deposition of Cosmetic Contact Lenses on the Cornea after Intense Pulsed-Light Treatment

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We report a case of corneal deposition of pigments from cosmetic contact lenses after intense pulsed-light (IPL)therapy. A 30-year-old female visited our outpatient clinic with ocular pain and epiphora in both eyes; these symptoms developed soon after she had undergone facial IPL treatment. She was wearing cosmetic contact lenses throughout the IPL procedure. At presentation, her uncorrected visual acuity was 2/20 in both eyes, and the slit-lamp examination revealed deposition of the color pigment of the cosmetic contact lens onto the corneal epithelium. We scraped the corneal epithelium along with the deposited pigments using a no. 15 blade; seven days after the procedure, the corneal epithelium had healed without any complications. This case highlights the importance of considering the possibility of ocular complications during IPL treatment, particularly in individuals using contact lenses. To prevent ocular damage, IPL procedures should be performed only after removing the lenses and applying eyeshields.

Abstract

We report a case of corneal deposition of pigments from cosmetic contact lenses after intense pulsed-light (IPL)therapy. A 30-year-old female visited our outpatient clinic with ocular pain and epiphora in both eyes; these symptoms developed soon after she had undergone facial IPL treatment. She was wearing cosmetic contact lenses throughout the IPL procedure. At presentation, her uncorrected visual acuity was 2/20 in both eyes, and the slit-lamp examination revealed deposition of the color pigment of the cosmetic contact lens onto the corneal epithelium. We scraped the corneal epithelium along with the deposited pigments using a no. 15 blade; seven days after the procedure, the corneal epithelium had healed without any complications. This case highlights the importance of considering the possibility of ocular complications during IPL treatment, particularly in individuals using contact lenses. To prevent ocular damage, IPL procedures should be performed only after removing the lenses and applying eyeshields.

참고문헌 (11)

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  2. 임태형, "미용콘택트렌즈로 인한 무균성 각막염과 이와 연관된 각막융해와 데스메막류", 대한안과학회지, 50(5), pp.774~778 (2009), 대한안과학회
  3. Steinemann TL, "Ocular complications associated with the use of cosmetic contact lenses from unlicensed vendors", Eye Contact Lens, 29, pp.196~200 (2003)
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  5. Raulin C, "IPL technology: a review", Lasers Surg Med, 32, pp.78~87 (2003)
  6. Goldberg DJ, "Nonablative treatment of rhytids with intense pulsed light", Lasers Surg Med, 26, pp.196~200 (2000)
  7. Bitter PH, "Noninvasive rejuvenation of photodamaged skin using serial, full-face intense pulsed light treatments", Dermatol Surg, 26, pp.835~842 (2000)
  8. Gagnon MR, "A case of acanthamoeba keratitis as a result of a cosmetic contact lens", Eye Contact Lens, 32, pp.37~38 (2006)
  9. Carkeet A, "Field restriction and vignetting in contact lenses with opaque peripheries", Clin Exp Optom, 81, pp.151~158 (1998)
  10. Hiraoka T, "Influence of cosmetically tinted soft contact lenses on higher-order wavefront aberrations and visual performance", Graefes Arch Clin Exp Ophthalmol, 247, pp.225~233 (2009)
  11. Choi HW, "Late-onset interface inflammation associated with wearing cosmetic lenses 18 months after laser in situ keratomileusis", Cornea, 27, pp.252~254 (2008)

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