Tags

Type your tag names separated by a space and hit enter

Bilateral simultaneous infectious keratitis secondary to contact lens wear: an unusual case report with rare organisms.
Eye Contact Lens. 2007 Nov; 33(6 Pt 1):338-40.EC

Abstract

PURPOSE

To report an unusual case of bilateral simultaneous hypopyon corneal ulcer in a contact lens wearer caused by polymicrobial infection with rare organisms.

METHODS

A case report of a 21-year-old soft contact lens wearer, who visited the emergency department with a 3-day history of pain, redness, decreased vision, photophobia, and tearing in both eyes. Examination showed a central corneal ulcer with hypopyon in both eyes. The cultures from corneal scrapings of both eyes, the contact lenses, and the contact lens solution showed heavy growth of Pseudomonas aeruginosa, Alkaligenes species, and Flavobacterium meningosepticum.

RESULTS

The corneal ulcers healed completely with aggressive antibiotic treatment for 4 weeks. The best-corrected visual acuity after 6 months of follow-up was 20/400 in the right eye and 20/60 in the left eye.

CONCLUSIONS

The possibility of infectious keratitis should be kept in mind for an acute red eye in contact lens wearers, and appropriate initial management is essential for a successful outcome. It is believed that this is the first report of Flavobacterium meningosepticum as a causative organism in contact lens-related keratitis.

Authors+Show Affiliations

Department of Ophthalmology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia. nadiramali@hotmail.comNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

17993833

Citation

Ali, Nadir Ali Mohamed, and Sagili Chandrasekhara Reddy. "Bilateral Simultaneous Infectious Keratitis Secondary to Contact Lens Wear: an Unusual Case Report With Rare Organisms." Eye & Contact Lens, vol. 33, no. 6 Pt 1, 2007, pp. 338-40.
Ali NA, Reddy SC. Bilateral simultaneous infectious keratitis secondary to contact lens wear: an unusual case report with rare organisms. Eye Contact Lens. 2007;33(6 Pt 1):338-40.
Ali, N. A., & Reddy, S. C. (2007). Bilateral simultaneous infectious keratitis secondary to contact lens wear: an unusual case report with rare organisms. Eye & Contact Lens, 33(6 Pt 1), 338-40.
Ali NA, Reddy SC. Bilateral Simultaneous Infectious Keratitis Secondary to Contact Lens Wear: an Unusual Case Report With Rare Organisms. Eye Contact Lens. 2007;33(6 Pt 1):338-40. PubMed PMID: 17993833.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Bilateral simultaneous infectious keratitis secondary to contact lens wear: an unusual case report with rare organisms. AU - Ali,Nadir Ali Mohamed, AU - Reddy,Sagili Chandrasekhara, PY - 2007/11/13/pubmed PY - 2008/1/9/medline PY - 2007/11/13/entrez SP - 338 EP - 40 JF - Eye & contact lens JO - Eye Contact Lens VL - 33 IS - 6 Pt 1 N2 - PURPOSE: To report an unusual case of bilateral simultaneous hypopyon corneal ulcer in a contact lens wearer caused by polymicrobial infection with rare organisms. METHODS: A case report of a 21-year-old soft contact lens wearer, who visited the emergency department with a 3-day history of pain, redness, decreased vision, photophobia, and tearing in both eyes. Examination showed a central corneal ulcer with hypopyon in both eyes. The cultures from corneal scrapings of both eyes, the contact lenses, and the contact lens solution showed heavy growth of Pseudomonas aeruginosa, Alkaligenes species, and Flavobacterium meningosepticum. RESULTS: The corneal ulcers healed completely with aggressive antibiotic treatment for 4 weeks. The best-corrected visual acuity after 6 months of follow-up was 20/400 in the right eye and 20/60 in the left eye. CONCLUSIONS: The possibility of infectious keratitis should be kept in mind for an acute red eye in contact lens wearers, and appropriate initial management is essential for a successful outcome. It is believed that this is the first report of Flavobacterium meningosepticum as a causative organism in contact lens-related keratitis. SN - 1542-2321 UR - https://www.unboundmedicine.com/medline/citation/17993833/Bilateral_simultaneous_infectious_keratitis_secondary_to_contact_lens_wear:_an_unusual_case_report_with_rare_organisms_ L2 - https://doi.org/10.1097/ICL.0b013e3180421be3 DB - PRIME DP - Unbound Medicine ER -