I have a sharp pain in my eye because I accidentally slept with my contact lenses. What should I do?
The most common cause of bacterial corneal infections is excessively prolonged use of contact lenses.
However if it’s localised then it might just be a chalazion which doesn’t usually require intervention especially when it involves the lower lid only. But considering the history I wouldn’t be too keen to make a diagnosis of chalazion without seeing the child.
Astigmatism can be due to several causes. Whether it will progress or not depends on the cause of the astigmatism. Have you had a corneal topography? That will help exclude corneal ectasias such as keratoconus which can indeed lead to progressively worsening astigmatism.
Depending on the cause there can be several treatment options. Cross linking would be the first choice for keratoconus. However for astigmatism without any ectasia the first choice would be a suitable contact lens trial. There are surgical options as well but most patients will benefit from contact lenses although refractive surgical options can also be appropriate for some patients.