Annals of Optometry and Contact Lens 2015;14(1):32-36.
Published online March 25, 2015.
Retrospective Analysis of Contact Lens-Related Keratitis Diagnosed at the Tertiary Referral Center
Jae Yong Kim, Ji Wook Hong, Jong Hoon Park, Jin Hyung Park, In Suk Song, Myoung Joon Kim, Hungwon Tchah
Department of Ophthalmology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
Received: 10 January 2015   • Revised: 18 February 2015   • Accepted: 16 March 2015
Abstract
Purpose: We attempted to analyze the clinical feature of contact lens-induced keratitis cases diagnosed in the tertiary referral center.
Methods: We retrospectively reviewed contact lens-related keratitis cases diagnosed in the Department of Ophthalmology between 2010 and 2013. Clinical information including age and best-corrected visual acuity (BCVA) at the time diagnosed, the type of contact lens used, corneal scraping culture result, and post-treatment BCVA were investigated.
Results: 40 cases of contact lens-related keratitis (3.1%) were found out of 1286 keratitis cases. The patient age was 22.3 ± 8.0 year-old and 16 extended wear soft lens user (40%), 10 cosmetic color lens users (25%) were found. The corneal scraping culture was performed in 20 out of 40 contact lens-related cases, and 11 cases (55%) showed a causative microorganism, revealing that Pseudomonas aeruginosa (36.3%) was the most common pathogen. The BCVA was 0.50 ± 0.70 and 0.18 ± 0.30 at pre- and post-treatment, respectively, which was a significant improvement in BCVA (p = 0.002).
Conclusions: A 3-year retrospective chart review of keratits revealed 40 contact lens-related keratitis cases out of 1,286 keratitis cases. The visual acuity significantly improved after topical antibiotics administration.
Ann Optom Contact Lens 2015;14(1):32-36
Key Words: Antibiotics, Contact lens, Keratitis, Pseudomonas<; br>


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