This is the left eye of a 48 year old female who had RK surgery years ago. She is now wears +5.00 Biomedics XC contact lenses and reported overwearing it. Her eye is now red and watery. Examination revealed punctate epithelial staining (mild damage to surface cells) with the beginning of collection of white blood cells beneath them. This appears to be an inflammatory response to hypoxia (decreased oxygen). A mild dosage of antibiotic/anti-inflammatory drops were given and patient will follow-up.