A 49-year-old man with blurred vision in 1 eye and myopic regression had laser in situ keratomileusis (LASIK) in the right eye after having 20/20 uncorrected visual acuity for 2 years. At the conclusion of surgery, a poly(methyl methacrylate) contact lens that had been retained for more than 10 years was discovered in the upper fornix. Although the patient remained asymptomatic, reports of significant complications associated with retained contact lenses are numerous. In addition, retained contact lenses, lid lesions, and periocular masses can induce refractive and topographic changes after LASIK. The retained contact lens may have led to compression-induced changes in corneal curvature, resulting in the need for uniocular enhancement 2 years after the primary LASIK procedure.

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http://dx.doi.org/10.1016/s0886-3350(03)00463-2DOI Listing

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