Do Therapeutic Contact Lenses and Antibiotics Need to Be Used Together? - Ophthalmology

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Should therapeutic contact lenses be used in conjunction with antibiotics?


Doctor: Hello! I have been experiencing recurrent epithelial damage due to keratitis, so I recently visited a doctor who prescribed therapeutic contact lenses for me to wear for three months, with a lens change every month.
Additionally, I was given a bottle of Coloboma eye drops to use three times a day.
Can I use the Coloboma eye drops continuously for a month, or can I stop using them if my eyes show no symptoms? I am concerned that using antibiotic eye drops for too long may not be good.
Thank you!

Teresa, 40~49 year old female. Ask Date: 2023/05/19

Dr. Liang Ce reply Ophthalmology


Recommendations: 1.
Discuss the above situation further with your attending physician.
2.
Alternatively, consult with another ophthalmology medical facility.
Thank you.
Wishing you good health!

Reply Date: 2023/05/19

More Info


When it comes to the use of therapeutic contact lenses and antibiotics, particularly in the context of treating conditions like keratitis, it is essential to understand the purpose of each treatment and how they can work together effectively. Therapeutic contact lenses are designed to provide a protective barrier over the cornea, allowing for healing while also providing comfort. They can be particularly beneficial for patients with recurrent epithelial defects or other corneal issues, as they help to maintain moisture and reduce irritation.

In your case, the doctor has prescribed levofloxacin (the antibiotic in your eye drops) to combat any bacterial infection that may be present or to prevent infection during the healing process. Levofloxacin is a fluoroquinolone antibiotic that is effective against a wide range of bacteria and is commonly used in ophthalmology to treat infections of the eye.

Regarding your concern about the duration of antibiotic use, it is important to follow your doctor's instructions. Typically, antibiotics like levofloxacin can be used for an extended period if the doctor deems it necessary for your condition. The duration of treatment often depends on the severity of the infection and the patient's response to the medication. If your eye shows improvement and there are no signs of infection, your doctor may decide to taper off the antibiotic. However, it is crucial not to stop the medication prematurely without consulting your healthcare provider, as this could lead to a resurgence of the infection or contribute to antibiotic resistance.

Antibiotic resistance is a significant concern in medicine today. It occurs when bacteria evolve and become resistant to the effects of medications that once effectively treated them. This can happen if antibiotics are used too frequently or not taken as prescribed. Therefore, using antibiotics only when necessary and completing the prescribed course is vital to prevent resistance.

In terms of the therapeutic contact lenses, they should be worn as directed by your doctor. If you experience any discomfort, redness, or changes in vision while wearing them, you should contact your healthcare provider immediately. Regular follow-up appointments are also essential to monitor the healing process and make any necessary adjustments to your treatment plan.

In summary, it is generally safe to use therapeutic contact lenses and antibiotics together, especially under the guidance of an eye care professional. The antibiotic drops can help prevent or treat infection while the lenses promote healing. However, it is crucial to adhere to your doctor's instructions regarding the duration of antibiotic use and to attend follow-up appointments to ensure that your eye health is being properly managed. If you have any concerns about the length of time you are using the antibiotic drops or the therapeutic lenses, do not hesitate to reach out to your doctor for clarification and guidance. Your eye health is paramount, and open communication with your healthcare provider is key to achieving the best outcomes.

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