Management of Dense Adherent Deposits on Scleral Contact Lens Related to Improper Cleaning Regime

The purpose of this report is to describe the management of dense deposits on a scleral contact lens causing acute red eye. A 23-year-old scleral contact lens wearer for keratoconus presented with complaints of redness and irritation in the left eye on using lenses for the past 1 week. He had discontinued the lens in the left eye but continued wearing it in the right eye. Slit lamp examination showed congestion in both his eyes, with the left eye being more affected than the right. There was no corneal infiltrate, and the anterior chamber was quiet. The contact lens showed dense adherent deposits, which were cleaned thoroughly and disinfected. The clarity of the contact lenses was restored. Improper cleaning of scleral contact lenses can cause dense deposits over time, which can lead to acute red eye. Thorough cleaning and disinfection can result in the restoration of the clarity of the lenses. Proper cleaning and lens hygiene are recommended to prevent this complication.