Orthokeratology lens-related Pseudomonas aeruginosa infectious keratitis
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AbstractPurpose. To report a case of orthokeratology lens-related Pseudomonas corneal ulcer in an adult. Methods. Case report. Results. A 37-year-old man presented with a 1-day history of painful red eye. He was a soft contact lens wearer before he started on nocturnal orthokeratology lens wear of 8 to 10 hours per night 9 months ago. Corneal scraping sent for culture revealed a heavy growth of Pseudomonas aeruginosa. The patient was treated with intensive topical fortified tobramycin and ceftazidime drops. The ulcer healed with a residual paraxial corneal scar. Although his best-corrected visual acuity (BCVA) recovered from finger counting (8/200) at presentation to 20/30, he suffered visual loss from a premorbid BSCVA of 20/15. His contrast sensitivity (Vector Vision CSV 1000 test) performance was also worse than his fellow eye. Conclusion. Nocturnal orthokeratology lens wear may be associated with an increased risk of infection.
All Author(s) ListYoung AL, Leung ATS, Cheung EYY, Cheng LL, Wong AKK, Lam DSC
Journal nameCornea
Volume Number22
Issue Number3
Pages265 - 266
LanguagesEnglish-United Kingdom
Keywordscorneal ulcer; infection; nocturnal; orthokeratology
Web of Science Subject CategoriesOphthalmology; OPHTHALMOLOGY

Last updated on 2020-21-11 at 01:29