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2.12 Removal of Dislocated Contact Lens


Presentation

The patient may know the lens has dislocated into one of the recesses of the conjunctiva, and complain only of the loss of refractory correction; or he may have lost track of the lens completely, in which case the eye is a logical place to look first. Pain and blepharospasm suggest a corneal abrasion, perhaps from removal attempts.

What to do:

What not to do:

Discussion

The deepest recess in the conjunctiva is under the upper lid, but lenses can lodge anywhere; there have been rare cases of lenses perforating the conjunctival sac and migrating posterior to the globe. Be sure to evert the upper conjunctival sac by pushing down with a cotton tipped applicator.

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from Buttaravoli & Stair: COMMON SIMPLE EMERGENCIES
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