A Guide to Clinical Contact Lens Management

Signs, Symptoms, Diagnosis and Management

Academy for Eyecare Excellence™
IN COOPERATION WITH
Centre for Contact Lens Research
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Intracorneal hemorrhage

Intracorneal Hemorrhage

Symptoms

  • Typically none. Patient may observe red spot on cornea

Signs

  • Hemorrhage located near vascularized area of cornea
  • Hemorrhage may be superficial or deep stromal
  • Area of opacification remains on resolution of hemorrhage

Etiology

  • A complication of vascularization
  • May be history of previous corneal disease, trauma, or infection around the site of the lesion, which resulted in the growth of the abnormal blood vessels into the cornea

Prevalence

  • Very rare

Differential Diagnosis

Management

  • Superficial hemorrhage will resolve within 2 weeks following cessation of lens wear with minimal effect on vision or future lens wear
  • Change to high Dk/t soft or GP lens
  • Cease lens wear if deep stromal hemorrhage observed
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