Infectious keratitis in contact lens wearers Rika Kamada 1 , Yu Monden 1 , Minoru Sugita 1 , Kensaku Iwata 1 , Koji Uehara 1 , Ryoji Yamakawa 1 1Dept of Ophthalmol,Kurume Univ Sch of Med pp.1285-1289
Published Date 2009/8/15
DOI https://doi.org/10.11477/mf.1410102825
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Abstract. Purpose:To report pathogenic microorganisms isolated from contact lens(CL)wearers with infectious keratitis. Cases and Method:This study was made on 21 eyes of 20 CL wearers who were treated for infectious keratitis during the past 7 years. The series comprised 15 male and 6 female eyes. The age ranged from 15 to 58 years,average 27 years. Soft CL was used in 20 eyes. Thirteen eyes had been treated elsewhere before visiting us. Corneal smears and CL storage cases were examined directly or after culture for microorganisms. Results:Microorganisms were isolated from corneal smear in 8 eyes and from CL storage case in 13 eyes. Pseudomonas was most frequently present. Findings by bacterial study were used as guide in deciding therapeutic modalities. Keratitis improved in 6 out of 8 eyes(75%)and in 11 out of 13 eyes(85%). There was no significant difference between the two groups. Conclusion:Pathogenic microorganisms from CL storage case serve as a useful guide in deciding the therapeutic method.

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