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An ophthalmologist urges people who carry contacts to think twice before sleeping in their lenses, whether they are hard or soft.
Dr. Patrick Vollmer, an optometrist at the Vita Eye Clinic in Shelby, North Carolina, shared graphic images of a recently treated patient who had developed a pseudomonas ulcer grown after sleeping in contact lenses to prevent certain harmless habits.
"I sleep all the time in my contacts and I never had a problem," recalls Vollmer "every day".
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The ophthalmologist however said that a nasty bacterium that he had treated last week was telling a different story.
Vollmer said he was referred to a patient of a patient whose eye had been infected with Pseudomonas bacteria.
"Pseudomonas (bacteria) are a major cause of ocular morbidity and its opportunistic characteristics quickly lead to permanent blindness," he said in an article published on Facebook on Sunday that went viral with more than 300,000 actions. "The bacteria eat away the patient's cornea explosively in a few days, leaving behind white and venous necrosis (dead tissue)."
According to the Centers for Disease Control and Prevention (CDC), infection usually results from bacteria in the environment, although it is more common among hospitalized people whose immune systems are weakened. The bacteria may also be present in the water, which is why the health agency recommends removing the contacts before jumping in the shower or in a pool.
Like Vollmer, the CDC also recommends not sleeping in contact lenses
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"Why sleeping in any type of contact lens increases the risk of contracting a serious corneal infection called microbial keratitis 1-6" by 6 to 8 times, says the CDC online. "Out of 10,000 people who sleep at night with their contact lenses during an average year, 18 to 20 microbial keratitis infections will occur."
In the recent case that he witnessed, Vollmer said that it only took 36 hours for the ulcer in the woman's eye to go from "small" to "small". massive ".
To examine the damage, Vollmer used a green fluorescein dye to help detect foreign bodies and any damage to the cornea – in this case, he was looking at the "ulcer bed".
Fortunately, he was able to treat the patient's infection with drops of antibiotics, administered "at all times". He also gave her steroids to prevent permanent scarring.
"While this patient's eye continues to improve significantly from baseline, it will most likely present some form of residual vision loss even after treatment," added the optometrist.
Vollmer said the deal was the fourth of cultivated pseudomonas he's treated this year – and he's certain he'll see more in the coming months.
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To help prevent future cases, Vollmer has published photos of the patient's sight treatment in order to urge him to avoid sleeping in contact lenses, unless special lenses for the night or medical reasons do not justify to justify the risk. But if possible, Vollmer said that it should be avoided completely.
"The risks outweigh the benefits every time.It takes a few seconds to delete your contacts, but a lifetime of irreversible damage if you decide to let them in. Users need to see these images and remember / their loved ones / friends should also be aware of contact lens misuse, "he concluded in a Facebook message posted on the page of the Vita Eye Clinic.
Contact lens wearers quickly thanked the optometrist for passing on the message, especially those who had sleep problems in their lenses.
"I slept in mine all the time, I ended up with an ulcer, fortunately it was not a pseudomonas I had to wake up every hour for 2 days to be able to put drops in my eyes, and then every 2 hours for 2 days, now I will not even wear my contacts for 12 hours, "commented a woman.
"I learned very quickly after never having removed mine as I should have and they were encrusted in my eye.I could not wear contacts for 6 months And now, I can never again, because of the loss of tear ducts, be wise. " another shared.
"I had a corneal ulcer in both eyes I will never sleep with contacts again My optometrist did a great job in saving my eyesight I had to wear glasses for 6 months before I could not look directly into the sunlight or light for days, "added a third. "Very nasty bacteria."
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