19-year-old Indraneel Kumar* was a college student who lived in Nerul, Navi Mumbai. He used to wear contact lenses for the last two years but was very casual with respect to cleaning and maintaining the hygiene of the contact lenses and its case.
Gradually, he started experiencing burning sensation and redness in his left eye. He informed his mother who then immediately booked an appointment with eye doctor at Advanced Eye Hospital Institute (AEHI) located at Sanpada, Navi Mumbai based on her friend’s recommendation.
A detailed eye check-up was conducted for Indraneel at AEHI. Visual acuity, contact lens power (refraction), eyelids, conjunctiva and cornea were assessed thoroughly.
Dr. Vinayak Damgude, a Cornea & Cataract specialist, examined Indraneel’s eyes. He noticed that there were new blood vessels in upper part of the cornea. This eye condition is known as Pannus, which typically results from prolonged inflammation. Further, both his eyes showed corneal infiltrate i.e. presence of white blood cells in the peripheral cornea. Besides he also noticed the presence of blepharitis which is the whitish scaling at the lid margins.
Dr. Vinayak diagnosed him as Blepharokeratoconjunctivitis along with corneal infiltrate. He then prescribed him few anti-antibiotic eye drops as well as lubricating eye drops. Further, he was advised to do hot Fomentation with eyelid hygiene. Dr. Vinayak also recommended him ointment to apply to the lid margins at night for atleast a month. Further he was advised to discontinue contact lens wear.
Blepharokeratoconjunctivitis is a chronic inflammatory eye disease of the eyelid, cornea and conjunctiva. It may be associated with cornea ulceration, scarring; Blepharitis, conjunctivitis, keratitis etc.
Signs and symptoms like red eye, light sensitivity, burning sensation, itching at the eyelid margins, conjunctival discharge, styes, chalazia etc may be present. Cornea may develop superficial punctate keratitis, ulcers, epithelial erosions etc.
Pannus formation in the corneal layer is a result of inflammation. This inflammation in turn is caused due to ill-fitting contact lens, or overuse, or its cleaning practices. Blepharoconjunctivitis related complications can get aggravated with misuse of contact lenses.
With continuous follow up sessions, Indraneel’s cornea and lid margins healed. He was advised to avoid contact lenses for a few months and resume contact lens wear after 3 months. He was also made to understand the role of proper contact lens hygiene.
Blepharokeratoconjunctivitis is also seen in children and can lead to severe corneal damage if left unattended and untreated. Vision loss can be prevented in most cases, as therapy is effective.
About Dr. Vinayak Damgude
Dr. Vinayak A Damgude (MBBS, MS, Fellowship in Cornea) is a Cornea, Cataract Consultant and General Ophthalmologist at Advanced Eye Hospital near Vashi, Navi Mumbai. He regularly treats children and adults with eye problems affecting the ocular surface and cornea like eye allergies, dry eyes, corneal infections, corneal degenerations and dystrophies. Consult Dr. Vinayak A Damgude by booking an appointment.
About Advanced Eye Hospital and Institute:
Advanced Eye Hospital and Institute in Navi Mumbai is one of the best eye hospitals in Mumbai. Outpatient areas and operation theatres are state-of-art and equipped with the best diagnostic and surgery machines. Personalised care, infection free modular operation theatres and beautiful ambience compliment the cutting-edge eye care offered at AEHI. Besides treating patients from Kharghar, Nerul, Vashi and Panvel, patients from all over western India travel to AEHI for world class eye care management.
Advanced Eye Hospital And Institute (AEHI) can be reached at (O): +91 22 67313636, (Emergency): +91 9167360360 or even through Email: firstname.lastname@example.org
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