Contact lens, hyperopia and endothelial changes. A case report

Introduction: We report on a 62-year-old healthy woman who suffered from bilateral predescemetic opacities, where the underlying disorder could not be identified. She had bilateral keratopathy with corneal edema, a diffuse predescemetic avascular haze and deszemetic: folds. Because of high hyperopia (right +7.50/left +7.75) she weared soft contact lenses for years. Methods: Removal of contact lenses. Treatment with local steroids and tear substitutes. Results: One year after cessation of contact lenses VA recovered from RE 0.3/LE 0.1 to 0.8/0.63, the deep stromal opacity cleared up, the corneal edema recessed slightly. Discussion: The differential diagnosis concludes either a pure contact lens change that is not completely reversible or a possible posterior polymorphous dystrophy that worsens with long-term contact lens wear and improves on cessation. © 2004 Kluwer Academic Publishers.