Treatment of Contact Lens-Associated Corneal Erosions

than other lens solution preservatives, may be the most highly sensitizing of the preservatives. The lesions resembling Trantas dots in our patient represent an IgE-mediated or possibly a toxic reaction to chlorhexidine used as a preservative in the contact lens soaking solution. When contact lens wear is associated with redness and ocular irritation, hypersensitivity to chlorhexidine should be considered. Lens care for the hypersensitive patient should consist of lens storage in a sterile, unit-dose preservative free saline.