Biomaterial Database

Immunological complications of soft contact lenses. 1987

B J Mondino, and O Brawman-Mintzer, and W A Boothe

Jules Stein Eye Institute, Los Angeles, CA 90024.

Immunologic reactions may be the basis of some complications associated with the use of soft contact lenses. In the case of giant papillary conjunctivitis, the antigen causing the problem is not known but is presumed to be protein adherent to the lenses. Superior limbic keratoconjunctivitis and dendritic corneal lesions related to soft contact lenses are associated with thimerosal, but occlusive patch tests do not demonstrate consistent delayed hypersensitivity responses to this preservative in these patients, suggesting that a toxic response may be involved. The association of corneal infiltrates and conjunctival hyperemia with delayed hypersensitivity to thimerosal probably represents the strongest immunologic association to date. These patients consistently show delayed hypersensitivity reactions to thimerosal in occlusive patch tests and intradermal tests.

UI	MeSH Term	Description	Entries
D006968	Hypersensitivity, Delayed	An increased reactivity to specific antigens mediated not by antibodies but by sensitized T CELLS.	Hypersensitivity, Tuberculin-Type,Hypersensitivity, Type IV,Tuberculin-Type Hypersensitivity,Type IV Hypersensitivity,Delayed Hypersensitivity,Delayed Hypersensitivities,Hypersensitivity, Tuberculin Type,Tuberculin Type Hypersensitivity,Tuberculin-Type Hypersensitivities,Type IV Hypersensitivities
D007635	Keratitis, Dendritic	A form of herpetic keratitis characterized by the formation of small vesicles which break down and coalesce to form recurring dendritic ulcers, characteristically irregular, linear, branching, and ending in knoblike extremities. (Dictionary of Visual Science, 3d ed)	Furrow Keratitis,Keratitis, Furrow,Dendritic Keratitides,Dendritic Keratitis,Furrow Keratitides,Keratitides, Dendritic,Keratitides, Furrow
D007637	Keratoconjunctivitis	Simultaneous inflammation of the cornea and conjunctiva.	Keratoconjunctivitides
D003229	Conjunctival Diseases	Diseases involving the CONJUNCTIVA.	Conjunctival Disease,Disease, Conjunctival,Diseases, Conjunctival
D003233	Conjunctivitis, Allergic	Conjunctivitis due to hypersensitivity to various allergens.	Allergic Conjunctivitis,Conjunctivitis, Atopic,Conjunctivitis, Giant Papillary,Conjunctivitis, Vernal,Keratoconjunctivitis, Vernal,Allergic Conjunctivitides,Atopic Conjunctivitides,Atopic Conjunctivitis,Conjunctivitides, Allergic,Conjunctivitides, Atopic,Conjunctivitides, Giant Papillary,Conjunctivitides, Vernal,Giant Papillary Conjunctivitides,Giant Papillary Conjunctivitis,Keratoconjunctivitides, Vernal,Papillary Conjunctivitides, Giant,Papillary Conjunctivitis, Giant,Vernal Conjunctivitides,Vernal Conjunctivitis,Vernal Keratoconjunctivitides,Vernal Keratoconjunctivitis
D003263	Contact Lenses, Hydrophilic	Soft, supple contact lenses made of plastic polymers which interact readily with water molecules. Many types are available, including continuous and extended-wear versions, which are gas-permeable and easily sterilized.	Lenses, Contact, Hydrophilic,Soft Contact Lenses,Hydrophilic Contact Lens,Soft Contact Lens,Contact Lens, Hydrophilic,Contact Lens, Soft,Contact Lenses, Soft,Hydrophilic Contact Lenses,Lens, Hydrophilic Contact,Lens, Soft Contact,Lenses, Hydrophilic Contact,Lenses, Soft Contact
D003316	Corneal Diseases	Diseases of the cornea.	Corneal Disease,Disease, Corneal,Diseases, Corneal
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013849	Thimerosal	An ethylmercury-sulfidobenzoate that has been used as a preservative in VACCINES; ANTIVENINS; and OINTMENTS. It was formerly used as a topical antiseptic. It degrades to ethylmercury and thiosalicylate.	Mercurothiolate,Thiomersal,Thiomersalate,Merthiolate,Sodium Ethylmercurithiosalicylate,Vitaseptol,Ethylmercurithiosalicylate, Sodium