Contact lens management of aniseikonia and photophobia induced by trauma

Purpose. To describe a case of a contact lens fitting to relieve aniseikonia and photophobia resulting from trauma. Methods. A 61-year-old man suffered a blunt injury to his left eye resulting in glaucoma and a traumatic cataract with a fixed pupil and iris defects. A vitrectomy, lensectomy, and iris repair were performed leaving him with significant anisometropia. Results. The patient was fitted with a prosthetic contact lens. Conclusions. Contact lenses can provide significant visual improvement in cases of aniseikonia and photophobia.