Retained multiple contact lenses in a vulnerable dementia patient
We report a case of an 85-year-old female nursing home resident with a background of dementia, who pre- sented to the eye casualty clinic complaining of an 8-month history of a painful red eye and reduced vision. Treated ‘on and off ’ by various doctors and healthcare professionals with antibiotic d...
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| Format: | Article |
| Language: | English |
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Edizioni FS
2020-09-01
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| Series: | Journal of Health and Social Sciences |
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| Online Access: | https://journalhss.com/wp-content/uploads/jhss_53_409-414.pdf |
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| _version_ | 1832595529799827456 |
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| author | Rohit SHARMA Zuhair SHARIF |
| author_facet | Rohit SHARMA Zuhair SHARIF |
| author_sort | Rohit SHARMA |
| collection | DOAJ |
| description | We report a case of an 85-year-old female nursing home resident with a background of dementia, who pre- sented to the eye casualty clinic complaining of an 8-month history of a painful red eye and reduced vision. Treated ‘on and off ’ by various doctors and healthcare professionals with antibiotic drops for eight months with no improvement. Eversion of the upper eye lid revealed an infected foreign body which turned out to be multiple contact lenses stacked on top of each other. Further history taking from her son suggested that the contact lenses were possibly left in for 3 years or longer when he noticed carers stopped replacing them at the care home. Patients with dementia are vulnerable adults and are at an increased risk of intentional or unintentional abuse and neglect. Careful care and attention should be given when taking a history and examining a patient with dementia. The case also highlights the importance of upper lid eversion as part of a thorough eye examination especially in patients who might have difficulty providing a history of a mi- splaced contact lens. This is the first such case to the best of our knowledge of retained contact lenses in a dementia patient. Patients with dementia should be advised against contact lens wear. Also the need for ca- reful mandatory documentation in the clinical notes and communications to the general practitioner or care home about the insertion and removal of contact lenses with dates and name of professional perfoming this. |
| format | Article |
| id | doaj-art-306e85cf378146aab9c73595a54be122 |
| institution | Kabale University |
| issn | 2499-5886 2499-2240 |
| language | English |
| publishDate | 2020-09-01 |
| publisher | Edizioni FS |
| record_format | Article |
| series | Journal of Health and Social Sciences |
| spelling | doaj-art-306e85cf378146aab9c73595a54be1222025-01-18T18:20:30ZengEdizioni FSJournal of Health and Social Sciences2499-58862499-22402020-09-015340941410.19204/2020/rtnd11Retained multiple contact lenses in a vulnerable dementia patientRohit SHARMA0Zuhair SHARIF1MBBS MS MRCSEd (Royal College of surgeons Edinburgh) FRCOphth (Royal College of Ophthalmologists, London), Assistant Professor (Hony) University of Nottingham. Consultant Ophthalmic Surgeon, University Hospitals Derby and Burton, United KingdomMBBS, University Hospitals Derby & Burton, London, United KingdomWe report a case of an 85-year-old female nursing home resident with a background of dementia, who pre- sented to the eye casualty clinic complaining of an 8-month history of a painful red eye and reduced vision. Treated ‘on and off ’ by various doctors and healthcare professionals with antibiotic drops for eight months with no improvement. Eversion of the upper eye lid revealed an infected foreign body which turned out to be multiple contact lenses stacked on top of each other. Further history taking from her son suggested that the contact lenses were possibly left in for 3 years or longer when he noticed carers stopped replacing them at the care home. Patients with dementia are vulnerable adults and are at an increased risk of intentional or unintentional abuse and neglect. Careful care and attention should be given when taking a history and examining a patient with dementia. The case also highlights the importance of upper lid eversion as part of a thorough eye examination especially in patients who might have difficulty providing a history of a mi- splaced contact lens. This is the first such case to the best of our knowledge of retained contact lenses in a dementia patient. Patients with dementia should be advised against contact lens wear. Also the need for ca- reful mandatory documentation in the clinical notes and communications to the general practitioner or care home about the insertion and removal of contact lenses with dates and name of professional perfoming this.https://journalhss.com/wp-content/uploads/jhss_53_409-414.pdfcontact lenses; carers; dementia; eyelid; foreign bodies |
| spellingShingle | Rohit SHARMA Zuhair SHARIF Retained multiple contact lenses in a vulnerable dementia patient Journal of Health and Social Sciences contact lenses; carers; dementia; eyelid; foreign bodies |
| title | Retained multiple contact lenses in a vulnerable dementia patient |
| title_full | Retained multiple contact lenses in a vulnerable dementia patient |
| title_fullStr | Retained multiple contact lenses in a vulnerable dementia patient |
| title_full_unstemmed | Retained multiple contact lenses in a vulnerable dementia patient |
| title_short | Retained multiple contact lenses in a vulnerable dementia patient |
| title_sort | retained multiple contact lenses in a vulnerable dementia patient |
| topic | contact lenses; carers; dementia; eyelid; foreign bodies |
| url | https://journalhss.com/wp-content/uploads/jhss_53_409-414.pdf |
| work_keys_str_mv | AT rohitsharma retainedmultiplecontactlensesinavulnerabledementiapatient AT zuhairsharif retainedmultiplecontactlensesinavulnerabledementiapatient |