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Medical Forum / General / Vision / March 2008

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Minor abrasion?

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Kamerheimer@gmail.com - 10 Mar 2008 01:34 GMT
On Thursday afternoon I noticed I had a ripped contact lens in my eye
and removed it, actually it was bothering me then removed it and saw
it was ripped.  I drove back home and put in a new lens.  My vision
was blurry with that lens in and I just wore my glasses.  Later in the
day I went to the eye doctor and she said that I had a minor
abrasion.  She said it would be fine in 24 hours.  It's now been over
4 days and I still have blurry vision with my contacts, my vision was
always fine after this incident with my glasses on.  My eye does not
bother me at all.

Should this just go away on its own, I see that corneal abrasions
usually cure within 24-72 hours.  Thanks.
Mike Tyner - 10 Mar 2008 04:12 GMT
> On Thursday afternoon I noticed I had a ripped contact lens in my eye
> and removed it, actually it was bothering me then removed it and saw
> it was ripped.  I drove back home and put in a new lens.  My vision
> was blurry with that lens in and I just wore my glasses.  Later in the
> day I went to the eye doctor and she said that I had a minor
> abrasion.  She said it would be fine in 24 hours.

They usually are.

You didn't mention pain, and I'd expect some, if you lost a serious amount
of epithelium.

It's possible there's a temporary dimple in your visual axis, or temporary
change in curvature, but abrasions that bad are usually painful, red, and
sensitive to light.

And soft contacts usually smooth over those irregularities, so decreased
vision is more noticable in glasses.

Another possibility is inflammation from poor or slow healing. If the
epithelium doesn't close right back up, germs and metabolites and foreign
stuff leaks into the cornea and stimulates clouds of white blood cells that
make your vision hazy. With glasses OR contacts.

Bottom line, you should be leaving the contact out. If your vision is normal
with glasses, give it some time.

-MT, OD

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