BMJ Case Reports 2018; doi:10.1136/bcr-2018-225767
  • Findings that shed new light on the possible pathogenesis of a disease or an adverse effect

Unexpected cause for eyelid swelling and ptosis: rigid gas permeable contact lens migration following a 28-year-old trauma

  1. Helen Murgatroyd1,2
  1. 1Department of Ophthalmology, NHS Tayside, Dundee, UK
  2. 2Department of Ophthalmology, University of Dundee, Dundee, UK
  1. Correspondence to Dr Sirjhun Patel, sirjhunpatel{at}
  • Accepted 26 July 2018
  • Published 10 August 2018


A patient presented with left upper eyelid swelling and ptosis. The MRI reported a cyst with proteinaceous content. On surgical excision of the cyst, a rigid gas permeable (RGP) contact lens was found. The RGP lens was encapsulated within the upper eyelid soft tissue. It was later revealed that the patient experienced childhood trauma while wearing RGP contact lenses 28 years previously. The patient assumed that the RGP lens fell out and was lost; however, it can be inferred that the lens migrated into the eyelid and resided there asymptomatically for 28 years.


  • Contributors SP wrote the manuscript with support from L-LT and HM.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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