Ocular Complications Associated with the Use of Cosmetic Contact Lenses from Unlicensed Vendors

Purpose To call attention to the unauthorized sale of cosmetic contact lenses, resulting in ocular complications. Design Observational case report. Methods Retrospective, observational, clinical practice setting. Results Six patients (five female and one male) were seen urgently for acute eye pain and redness after wearing cosmetic plano contact lenses. None of the patients had previously worn a contact lens or spectacle correction. None of the lenses were dispensed by eye care professionals. One patient developed pseudomonal keratitis, ultimately requiring penetrating keratoplasty for visual rehabilitation. Conclusions Colored contact lenses are being dispensed without a prescription or fitting from unlicensed vendors, such as cosmetics, convenience, and accessory stores. Lenses are sold individually and without care instructions. Consequently, uninformed lens wearers are experiencing acute, vision-threatening infections and inflammation.