Subepithelial Intracorneal Hemorrhage in a Soft Contact Lens User

Abstract

Soft contact lens users should be monitored for the development of significant neovascularization.

Intracorneal hemorrhage in 19 dogs (22 eyes) from 2000 to 2010: a retrospective study

“…Although the nomenclature has varied, all the reports describe free blood within a corneal layer(s). Reports have included spontaneous corneal hemorrhage, 4,5 spontaneous intracorneal hemorrhage, 6,8,11 intracorneal hematoma, 7,12 keratohematoma, 20 and subepithelial corneal hematoma 18…”

“…ICH has been described in the human literature since 1875; 1 however, the authors could only find two references to ICH in the veterinary literature 2,3 . ICH in humans may occur as a sequelae of intraocular surgery, 4,5 corneal grafting, 6 corneal trauma, 4 contact lens use, 4,6–10 primary corneal disease, 11,12 chemical corneal burns, 4,13 and severe glaucoma 4,14–16 . The outcome for human ICH cases is usually favorable, with most lesions regressing spontaneously over 2–3 years 6,12,17 without permanent corneal opacity 11 .…”

“…The outcome for human ICH cases is usually favorable, with most lesions regressing spontaneously over 2–3 years 6,12,17 without permanent corneal opacity 11 . In some cases, surgical drainage of ICH is advocated, 8,18,19 and in rare cases, the corneal opacity may require corneal transplant for visual rehabilitation 19 …”

Intracorneal stromal hemorrhage in dogs and its associations with ocular and systemic disease: 39 cases

“…1,2 This condition is reportedly associated with corneal vascularization, which is a much more prevalent finding in both human beings and animals. [3][4][5][6] The difference in prevalence between the conditions could be explained by special pathophysiologic circumstances.…”

“…Corneal vascularization and stromal intracorneal hemorrhage (ICH) are both complications that may threaten visual status. 1,2 In addition, these conditions are associated with similar insults to the cornea such as corneal grafting, infection, inflammatory corneal diseases, intraocular surgery, extraocular surgery, ocular trauma, and, in human beings, contact lens irritation. [7][8][9] In many cases, ICH resolves spontaneously over time with or without the use of specific topical treatments.…”