Hard contact lens migration into the upper lid: an unexpected lid lump.

Abstract

SUMMARY Contact lens migration into the upper lid is a rare complication of wearing a hard contact lens. We present a case in which the only complaint was the cosmetically unacceptable appearance of a lump in the upper lid. The 76-month duration of the lesion is, we believe, the longest so far described. The histology and possible natural history of the cyst are also discussed.

Lost contact lens masquerading as an orbital mass

“…Green first described this phenomenon in 19631 and other authors have detailed different ways that a lost contact lens can present, such as an eyelid mass,2 upper lid retraction,3 ptosis,4 peripheral ulcerative keratitis5 or an anterior orbital mass similar to this case 6. More recently a hard contact lens was discovered during a refractive surgery procedure, thought to have been lost 10 years previously 7…”

Lost contact lens masquerading as an orbital mass

“…Green first described this phenomenon in 19631 and other authors have detailed different ways that a lost contact lens can present, such as an eyelid mass,2 upper lid retraction,3 ptosis,4 peripheral ulcerative keratitis5 or an anterior orbital mass similar to this case 6. More recently a hard contact lens was discovered during a refractive surgery procedure, thought to have been lost 10 years previously 7…”

An Eyelid Mass Caused by a Migrated Hard Contact Lens

“…[1][2][3][4][5] The clinical course and intraoperative findings in this case report strongly suggest that a hard contact lens migrated through the wedge-shaped excision site of the tarsus into the patient's upper eyelid. To our knowledge, such migration of the hard contact lens is rare.…”

A Conjunctival Mass in the Deep Superior Fornix After a Long Retained Hard Contact Lens in a Patient With Keloids

“…8 The tissue surrounding a retained contact lens has been analyzed in some cases, and the most common histopathologic findings are chronic inflammatory tissue, unspecific granulation tissue, foreign body granuloma, noncystic fibrocollagenous tumor, and pyogenic granuloma. 2,3,[5][6][7]9,10 In our case, no biopsy was performed.…”

“…2,3,7,9 Some cases, however, remain asymptomatic. 1,8,10 The lost contact lenses can also remain in place for several years before suddenly giving rise to complaints or reappearing spontaneously. 4,8,9 We report the case of a patient in whom a hard contact lens was retained for more than 3 years in the upper fornix and induced the formation of a mass in the upper eyelid conjunctiva.…”

Lost contact lens masquerading as an orbital mass

“…Green first described this phenomenon in 19631 and other authors have detailed different ways that a lost contact lens can present, such as an eyelid mass,2 upper lid retraction,3 ptosis,4 peripheral ulcerative keratitis5 or an anterior orbital mass similar to this case 6. More recently a hard contact lens was discovered during a refractive surgery procedure, thought to have been lost 10 years previously 7…”

An Eyelid Mass Caused by a Migrated Hard Contact Lens

“…[1][2][3][4][5] The clinical course and intraoperative findings in this case report strongly suggest that a hard contact lens migrated through the wedge-shaped excision site of the tarsus into the patient's upper eyelid. To our knowledge, such migration of the hard contact lens is rare.…”

A Conjunctival Mass in the Deep Superior Fornix After a Long Retained Hard Contact Lens in a Patient With Keloids

“…8 The tissue surrounding a retained contact lens has been analyzed in some cases, and the most common histopathologic findings are chronic inflammatory tissue, unspecific granulation tissue, foreign body granuloma, noncystic fibrocollagenous tumor, and pyogenic granuloma. 2,3,[5][6][7]9,10 In our case, no biopsy was performed.…”

“…2,3,7,9 Some cases, however, remain asymptomatic. 1,8,10 The lost contact lenses can also remain in place for several years before suddenly giving rise to complaints or reappearing spontaneously. 4,8,9 We report the case of a patient in whom a hard contact lens was retained for more than 3 years in the upper fornix and induced the formation of a mass in the upper eyelid conjunctiva.…”

Lost contact lens masquerading as an orbital mass

“…Green first described this phenomenon in 19631 and other authors have detailed different ways that a lost contact lens can present, such as an eyelid mass,2 upper lid retraction,3 ptosis,4 peripheral ulcerative keratitis5 or an anterior orbital mass similar to this case 6. More recently a hard contact lens was discovered during a refractive surgery procedure, thought to have been lost 10 years previously 7…”

An Eyelid Mass Caused by a Migrated Hard Contact Lens

“…[1][2][3][4][5] The clinical course and intraoperative findings in this case report strongly suggest that a hard contact lens migrated through the wedge-shaped excision site of the tarsus into the patient's upper eyelid. To our knowledge, such migration of the hard contact lens is rare.…”

A Conjunctival Mass in the Deep Superior Fornix After a Long Retained Hard Contact Lens in a Patient With Keloids

“…8 The tissue surrounding a retained contact lens has been analyzed in some cases, and the most common histopathologic findings are chronic inflammatory tissue, unspecific granulation tissue, foreign body granuloma, noncystic fibrocollagenous tumor, and pyogenic granuloma. 2,3,[5][6][7]9,10 In our case, no biopsy was performed.…”

“…2,3,7,9 Some cases, however, remain asymptomatic. 1,8,10 The lost contact lenses can also remain in place for several years before suddenly giving rise to complaints or reappearing spontaneously. 4,8,9 We report the case of a patient in whom a hard contact lens was retained for more than 3 years in the upper fornix and induced the formation of a mass in the upper eyelid conjunctiva.…”