A 24-year-old contact lens wearer with unilateral vision loss requiring penetrating keratoplasty

Abstract

A 24-year-old myopic woman from rural Victoria who wore extended-wear soft contact lenses presented at Alfred Health, Melbourne, Australia, with a 2-week history of left eye irritation, redness, photophobia, and reduced visual acuity. She denied sleeping while wearing lenses, trauma, or agricultural exposure. She had been treated with topical ciprofloxacin 0.3% drops without improvement. There was a history of travel to Vietnam but only to coastal city centers. Initial symptoms developed in Australia prior to traveling to Vietnam, where they became progressively worse.