Dear patient:I recently saw a long time patient with giant papillary conjunctivitis also known as GPC. The inside of her eye looked very similar to the attached photo. This is an allergic reaction to the protein buildup on the contact lens. It causes itching, discharge, discomfort and excessive lens movement of the contact lens.Treatment includes discontinuation of the contact lens for one to four months, better cleaning of the contact lens: better rubbing with the cleaner in the palm and/or using an enzyme cleaner.
Sometimes we have to change the lens modality to a contact lens that is thrown away more often. For example, if the patient wears monthly contact lenses switching to two week contacts. If they wear two week contacts consider one day contacts. Sometimes it is necessary to prescribe a steroid to treat the inflammation and also a topical antihistamine/mast cell stabilizer.
Thank you for your continued support.