Purpose: We describe a case of corneal warpage caused by 14 years of rigid gas permeable (RGP) contact lens wear.
Methods: The patient was refit with daily wear high water content soft contact lenses.
Results: After 6 months there were significant changes in both refraction and keratometry; computerized videokeratography showed that the corneal contour of both eyes had normalized.
Conclusions: Knowledge of contact lens induced corneal warpage is limited; it is therefore nor possible to follow a standard protocol for managing patients with this corneal deformation. In the case described, it was possible to reestablish a normal cornea without completely suspending contact lens wear by changing from RGP to hydrophilic material.