Student Discussion Guide Case description Patient GG, a 30-year-old African American female was referred from the urgent care clinic at a neighbor- hood community health center on Jan. 28, 2006 for pain in her right eye (OD). She reported falling asleep in her contact lenses (CLs) two nights prior to the visit and waking the next morning with no ocular problems. She continued to wear her CLs until she removed them at noon, when the eye sudrued io bouler hel. She moued burn ing, redness, tearing and sensitivity to light OD and stated that it "feels as if there is something in it." She had not used any eye drops and reported no dis- charge from her eyes. She denied an recent trauma or surgery to her eye, and confirmed she had not traveled recently to a warm and moist environment. She had not been swimming in her CLs or using tap water to clean them The patient was on her last pair of CLS and did not know the brand of CLs or solution used. Since she had not saved anv of the blister packs, she was not able to bring them to the next visit. She did
not recall the name or location of her last eye doctor or the date of her last visit. She typically wore her CLs for 10 hours a day and replaced them every two months. This was the second inci dence of falling asleep in her CLs.