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The use of Opti-Free Replenish, a multi-purpose contact lens disinfecting solution by Alcon, has been linked to infections caused by Stenotrophomonas maltophilia (S. maltophilia).

In June 2022, Family Dollar initiated a recall of OPTI-FREE Replenish Multi-Purpose 2 oz. contact lens solution due to improper storage conditions.

Details of the Recall:

• Product: OPTI-FREE Replenish Multi-Purpose 2 oz.
• Affected Period: Items sold between May 1, 2022, and June 10, 2022.
• Reason for Recall: The products were stored outside of labeled temperature requirements, potentially compromising their effectiveness.
• Distribution: Distributed to Family Dollar retail stores across the United States.

Contact Lens Solution Recalls

Over the years, several contact lens solutions have been recalled due to safety concerns, highlighting the importance of vigilance in product use and monitoring.

• Bausch & Lomb ReNu with Moisture Loc
  In April 2006, Bausch & Lomb recalled its ReNu with Moisture Loc contact lens solution after it was linked to a serious eye infection known as fusarium keratitis. This potentially blinding condition caused widespread concern. Although the product was released in 2004, the company only issued a recall in 2006 despite becoming aware of associated eye infections in 2005.
• AMO Complete MoisturePLUS Multi-Purpose Solution
  In May 2007, AMO recalled its Complete MoisturePLUS solution due to reports of severe eye infections. This recall followed numerous incidents where users experienced significant complications after using the product.

These recalls underline the critical need for users to stay informed about product safety and to act quickly if any adverse reactions occur. Regularly checking for updates from manufacturers and regulatory bodies like the FDA can help protect eye health.

Recommended Actions for Consumers:

• Check Your Product: If you purchased OPTI-FREE Replenish Multi-Purpose 2 oz. solution from Family Dollar during the specified period, discontinue use immediately.
• Contact Family Dollar: Reach out to Family Dollar’s customer service for guidance on returning the product and obtaining a refund.
• Monitor Eye Health: If you’ve used the affected product, be vigilant for any signs of eye discomfort or infection.
• Consult a Healthcare Professional: Seek medical attention if you experience symptoms such as redness, irritation, or vision changes.

For more information, refer to the FDA’s recall notice. Staying informed about product recalls and adhering to recommended guidelines is essential for maintaining eye health and safety.

While this bacteria typically co-exist harmlessly in and around the human body, it can cause serious complications if it invades sterile areas like the eyes.

Below is a closer look at conditions associated with this infection, including their signs, complications, and long-term effects.

1. Pneumonia

• Early Warning Signs:
  Persistent cough with phlegm, fever and chills, chest pain during deep breathing, and shortness of breath.
• Potential Complications:
  The infection may spread to the bloodstream (bacteremia), cause fluid accumulation in the lungs (pleural effusion), or lead to lung abscesses.
• Long-Term Effects:
  Pneumonia can leave lasting impacts, such as reduced lung function, chronic respiratory issues, and increased susceptibility to future infections.

2. Bacteremia

Bacteremia occurs when the bacteria enter the bloodstream, causing systemic inflammation. It is often linked to serious infections originating from other sites, like the eyes or lungs.

• Early Warning Signs:
  High fever, chills, rapid heart rate, and confusion (particularly in older adults).
• Potential Complications:
  Sepsis, a life-threatening systemic response, and organ failure can develop.
• Long-Term Effects:
  Recovery can lead to post-sepsis syndrome, with ongoing physical and psychological effects, as well as an increased risk of future infections.

3. Endocarditis

Endocarditis involves inflammation of the heart valves caused by bacterial infection.

• Early Warning Signs:
  Persistent fever, fatigue, and unexplained swelling in the legs, feet, or abdomen.
• Potential Complications:
  Heart valve damage may occur, potentially requiring surgical intervention, and there is a risk of stroke caused by embolism.
• Long-Term Effects:
  Chronic heart conditions may arise, necessitating long-term medication or monitoring.

4. Mastoiditis

Mastoiditis is an infection of the mastoid bone behind the ear, often resulting from untreated ear infections.

• Early Warning Signs:
  Ear pain, redness or swelling behind the ear, and fever.
• Potential Complications:
  The infection can spread to nearby structures, such as the brain, or cause hearing loss.
• Long-Term Effects:
  Persistent hearing problems and recurrent infections may occur.

5. Peritonitis

Peritonitis is inflammation of the abdominal lining caused by bacterial invasion.

• Early Warning Signs:
  Severe abdominal pain, nausea and vomiting, fever, and bloating.
• Potential Complications:
  Sepsis and organ failure are significant risks.
• Long-Term Effects:
  Chronic digestive issues or complications from surgery may result.

6. Meningitis

Meningitis involves inflammation of the protective membranes covering the brain and spinal cord.

• Early Warning Signs:
  Severe headache, stiff neck, fever, nausea, and light sensitivity.
• Potential Complications:
  Neurological damage and hearing loss may develop, along with a risk of sepsis.
• Long-Term Effects:
  Survivors may face cognitive deficits, hearing impairments, or other chronic neurological issues.

7. Soft Tissue Infections

These infections affect the skin and underlying tissues, often arising from injuries or surgical wounds.

• Early Warning Signs:
  Redness, swelling, warmth, and increasing pain at the site of injury.
• Potential Complications:
  Abscess formation and the potential spread of infection to deeper tissues.
• Long-Term Effects:
  Scarring and chronic pain at the site of infection may occur.

8. Eye Infections

Eye infections, such as conjunctivitis or keratitis, are common among contact lens users.

• Early Warning Signs:
  Eye redness, blurry vision, light sensitivity, and watery or pus-like discharge.
• Potential Complications:
  Corneal scarring can develop, leading to permanent vision impairment.
• Long-Term Effects:
  Chronic eye conditions requiring ongoing treatment may arise, along with increased susceptibility to future infections.

Early identification of symptoms and proper care can help prevent these complications. Always maintain strict hygiene when using contact lenses to reduce the risk of S. maltophilia infection.