Bindal Seema, Sridhar M S
L.V. Prasad Eye Institute, Hyderabad, India.
Eye Contact Lens. 2004 Apr;30(2):79-80. doi: 10.1097/01.icl.0000117222.21121.c9.
To report an unusual case of steroid-induced cataract and glaucoma after wearing soft contact lens soaked in steroid solution.
Case report of a 28-year-old man who presented with progressive decrease in vision of both the eyes of 2 years' duration. He was wearing conventional soft contact lens from the past 3 years. He used to buy the lenses from an optician and started storing the lenses in steroid solution overnight for the last 2 years.
His best-corrected visual acuity was 20/40 in both the eyes. Anterior segment evaluation revealed posterior subcapsular cataract in both the eyes. IOP was 12 mm of Hg in the right eye and 22 mm of Hg in the left eye. Fundus examination showed a cup disc ratio 0.9:1 in the right eye and 0.8:1 in the left eye. Humphrey visual fields revealed incomplete biarcuate scotoma in both the eyes.
Steroid-induced cataract and glaucoma in a contact lens wearer is an extremely rare complication. To our knowledge, there is no previous case of steroid-induced cataract and glaucoma in a conventional soft contact lens wearer. This case emphasizes the role of optometrists and ophthalmologists in patient education while dispensing contact lenses, especially in developing countries.
报告一例在佩戴浸泡于类固醇溶液中的软性隐形眼镜后发生类固醇性白内障和青光眼的罕见病例。
对一名28岁男性的病例报告，其双眼视力进行性下降已有2年。他在过去3年一直佩戴传统软性隐形眼镜。他过去常从配镜师处购买镜片，在过去2年里开始将镜片整夜浸泡在类固醇溶液中。
他双眼的最佳矫正视力均为20/40。眼前节评估显示双眼均有后囊下白内障。右眼眼压为12 mmHg，左眼眼压为22 mmHg。眼底检查显示右眼杯盘比为0.9:1，左眼为0.8:1。汉弗莱视野检查显示双眼均有不完全双弓形暗点。
隐形眼镜佩戴者发生类固醇性白内障和青光眼是一种极其罕见的并发症。据我们所知，此前尚无传统软性隐形眼镜佩戴者发生类固醇性白内障和青光眼的病例。该病例强调了验光师和眼科医生在为患者配隐形眼镜时进行患者教育的作用，尤其是在发展中国家。
