Our Health Library information does not replace the advice of a doctor. Please be advised that this information is made available to assist our patients to learn more about their health. Our providers may not see and/or treat all topics found herein.

Contact Lens Problems: Infection

Overview

Keratitis refers to an inflammation of the cornea. Infection of the cornea is called infectious keratitis. It is the most serious complication of contact lens wear and can cause blindness.

Bacterial keratitis is the most common type of infectious keratitis. Overall, bacterial keratitis is among the least frequent complications of wearing contacts. But it is much more common in people who wear the lenses overnight.

Even though the Food and Drug Administration (FDA) has approved some extended-wear lenses for 30-day use, many eye doctors recommend that people remove them every day.

What causes it?

In rare cases, viruses and fungi may cause keratitis. A germ that is often present in tap water causes a form of keratitis that is increasingly seen in contact lens wearers, especially those with soft lenses.

Noninfectious causes of keratitis in contact lens wearers include:

  • Injury (from a blow, scratch, or foreign object).
  • Chemicals, including those in contact lens solutions.
  • Physiological factors, such as an allergic reaction to deposits on the lenses.

What are the symptoms?

If you wear contact lenses and you have a painful, red eye, you may have infectious keratitis. Remove your lenses, and call your doctor immediately. You'll need antibiotic eyedrops to help treat the infection. Symptoms of bacterial keratitis may include:

  • Pain and redness in the eye.
  • Tearing and painful sensitivity to light.
  • Discharge.
  • Decreased vision.

Credits

Current as of: April 29, 2021

Author: Healthwise Staff
Medical Review:
Adam Husney MD - Family Medicine