Patient obtained prescription colored contact lenses from a (b)(6) online website without a prescription, never fit for them decorative contact lens, corneal ulcers both eyes.On (b)(6) 2016 patient reported colored contacts seemed foggy from the time she inserted them but she continued to wear them for 4 hours.Patient came to office with father, unable to open her eyes without anesthetic.Large superior central abrasions were observed in both eyes.Cells in the anterior chamber were trace and grade 2-3 injection of bulbar conjunctiva was noted.Treated with ocuflox every hour and bandage contact lenses.On (b)(6) 2016 patient had redness and pain.Acuity od 20/25 os 20/40 ocuflox was given every 2 hours both eyes.Homatropine dose started, new bandage lenses reinserted due to abrasions still healing.Oasys 8.8, -3.75,- 3.00.On 5-31-2016 visual acuity od 20/25 os 20/25 grade 1 injection of conjunctiva ou corneal staining improved.Ou inserted new bandage contacts.Homatropine given os only.Ocuflox decreased to 4x a day.On (b)(6) 2016 od 20/25 os 20/25 clearer cornea, discontinue bandage contacts.Recommended no contact lenses.Continue with ocuflox qid ou.Cornea healed ou with mild "cutis".Begin pred forte qid ou and taper every 2 days.Recheck 1 week.
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