Kao C S, Shih Y F, Ko L S
Department of Ophthalmology, National Taiwan University Hospital, Taipei, R.O.C.
J Formos Med Assoc. 1990 Mar;89(3):234-6.
Contact lens migration into the upper eye lid with resultant lid mass is a rare complication of hard contact lens wear. We present a case in which a cosmetically unacceptable upper lid mass was the chief problem. The patient had switched to soft contact lenses and tolerated them well for about 13 months. From computed tomographic scan pictures and the keratoscopic change, surgical exploration through the opening of a discharging sinus in the upper forniceal area delivered a 8 x 8 mm hard contact lens and a flux of tenacious mucoid discharge. Double eversion of the upper tarsus, which was advised by Green in 1963, was the most important technique in reaching the correct diagnosis, and it should be stressed again on examining patients with a history of displaced hard contact lens.
硬性角膜接触镜移位至眼睑上部并导致睑部肿物是硬性角膜接触镜佩戴的一种罕见并发症。我们报告一例以外观难以接受的上睑肿物为主要问题的病例。该患者已改用软性角膜接触镜，并耐受良好约13个月。根据计算机断层扫描图像和角膜镜检查变化，通过在上穹窿部切开一个排脓窦进行手术探查，取出了一枚8×8毫米的硬性角膜接触镜，并引出了大量黏稠的黏液性分泌物。1963年格林建议的上睑板双重外翻是做出正确诊断的最重要技术，对于有硬性角膜接触镜移位病史的患者进行检查时应再次强调这一点。
