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Pseudomonas keratitis associated with daily wear of silicone hydrogel contact lenses.
Eye Contact Lens. 2008 Mar; 34(2):124-8.EC

Abstract

PURPOSE

To report two cases of pseudomonas keratitis associated with daily wear of silicone hydrogel contact lenses.

METHODS

Medical records of two patients who developed pseudomonas keratitis while wearing silicone hydrogel lenses on a daily-wear schedule are reviewed and discussed.

RESULTS

A 13-year-old girl who wore ACUVUE Advance lenses (Johnson & Johnson Vision Care, Jacksonville, FL) 12 to 14 hours daily developed a paracentral corneal ulcer in her left eye 4 months after beginning contact lens use. Cultures were positive for Pseudomonas aeruginosa. The ulcer responded to fortified antibiotics and resolved in 10 days. Best-corrected visual acuity after resolution of the ulcer was 20/25. A 58-year-old woman with a 30-year history of rigid gas-permeable contact lens wear was refitted with O2 Optix lenses (CIBA Vision, Duluth, GA). Six months later, she had a 4.9 x 4.0 mm epithelial defect with an underlying stromal infiltrate in the right eye. Cultures were positive for P. aeruginosa. The ulcer responded to fortified antibiotics and resolved in 30 days. Best-corrected visual acuity after resolution of the ulcer was 20/30.

CONCLUSIONS

Increased oxygen permeability associated with silicone hydrogel contact lenses may reduce, but does not eliminate, the risk of pseudomonas keratitis. Studies have yet to quantify the risk of keratitis associated with daily wear of these lens materials. Further study is necessary to identify the risks of complications with daily wear of silicone hydrogel lenses and to determine which factors may contribute to those risks.

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Authors+Show Affiliations

Schornack MM
Department of Ophthalmology, Mayo Clinic, 200 First Street, SW, Rochester, MN 55905, USA. schornack.muriel@mayo.edu
Faia LJ
No affiliation info available
Griepentrog GJ
No affiliation info available

MeSH

AdolescentAnti-Bacterial AgentsCefazolinContact Lenses, HydrophilicCorneal UlcerCyclopentolateDrug Therapy, CombinationEye Infections, BacterialFemaleHumansHydrogel, Polyethylene Glycol DimethacrylateMiddle AgedPseudomonas InfectionsPseudomonas aeruginosaRetrospective StudiesSilicone ElastomersTobramycin

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

18327051

Citation

Schornack, Muriel M., et al. "Pseudomonas Keratitis Associated With Daily Wear of Silicone Hydrogel Contact Lenses." Eye & Contact Lens, vol. 34, no. 2, 2008, pp. 124-8.
Schornack MM, Faia LJ, Griepentrog GJ. Pseudomonas keratitis associated with daily wear of silicone hydrogel contact lenses. Eye Contact Lens. 2008;34(2):124-8.
Schornack, M. M., Faia, L. J., & Griepentrog, G. J. (2008). Pseudomonas keratitis associated with daily wear of silicone hydrogel contact lenses. Eye & Contact Lens, 34(2), 124-8. https://doi.org/10.1097/ICL.0b013e318126c0ee
Schornack MM, Faia LJ, Griepentrog GJ. Pseudomonas Keratitis Associated With Daily Wear of Silicone Hydrogel Contact Lenses. Eye Contact Lens. 2008;34(2):124-8. PubMed PMID: 18327051.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pseudomonas keratitis associated with daily wear of silicone hydrogel contact lenses. AU - Schornack,Muriel M, AU - Faia,Lisa J, AU - Griepentrog,Gregory J, PY - 2008/3/11/pubmed PY - 2008/6/5/medline PY - 2008/3/11/entrez SP - 124 EP - 8 JF - Eye & contact lens JO - Eye Contact Lens VL - 34 IS - 2 N2 - PURPOSE: To report two cases of pseudomonas keratitis associated with daily wear of silicone hydrogel contact lenses. METHODS: Medical records of two patients who developed pseudomonas keratitis while wearing silicone hydrogel lenses on a daily-wear schedule are reviewed and discussed. RESULTS: A 13-year-old girl who wore ACUVUE Advance lenses (Johnson & Johnson Vision Care, Jacksonville, FL) 12 to 14 hours daily developed a paracentral corneal ulcer in her left eye 4 months after beginning contact lens use. Cultures were positive for Pseudomonas aeruginosa. The ulcer responded to fortified antibiotics and resolved in 10 days. Best-corrected visual acuity after resolution of the ulcer was 20/25. A 58-year-old woman with a 30-year history of rigid gas-permeable contact lens wear was refitted with O2 Optix lenses (CIBA Vision, Duluth, GA). Six months later, she had a 4.9 x 4.0 mm epithelial defect with an underlying stromal infiltrate in the right eye. Cultures were positive for P. aeruginosa. The ulcer responded to fortified antibiotics and resolved in 30 days. Best-corrected visual acuity after resolution of the ulcer was 20/30. CONCLUSIONS: Increased oxygen permeability associated with silicone hydrogel contact lenses may reduce, but does not eliminate, the risk of pseudomonas keratitis. Studies have yet to quantify the risk of keratitis associated with daily wear of these lens materials. Further study is necessary to identify the risks of complications with daily wear of silicone hydrogel lenses and to determine which factors may contribute to those risks. SN - 1542-2321 UR - https://www.unboundmedicine.com/medline/citation/18327051/Pseudomonas_keratitis_associated_with_daily_wear_of_silicone_hydrogel_contact_lenses_ L2 - https://doi.org/10.1097/ICL.0b013e318126c0ee DB - PRIME DP - Unbound Medicine ER -