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[Nosocomial pseudomonas aeruginosa-associated keratitis in soft contact lens wearer]

Claudia Grünauer-Kloevekorn1, Frank Wilhelm, Gernot I W Duncker

  • 1Klinik und Poliklinik für Augenheilkunde der Martin-Luther-Universität Halle-Wittenberg. Cup-gk@t-online.de

Klinische Monatsblatter Fur Augenheilkunde
|January 28, 2004
PubMed
Abstract

Insights

This case highlights nosocomial Pseudomonas aeruginosa keratitis in a soft contact lens wearer, even with correct lens use. Strict hygiene is crucial for all contact lens wearers to prevent severe eye infections.

Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Microbiology

Background:

  • Pseudomonas aeruginosa is a leading cause of bacterial keratitis in soft contact lens wearers, often linked to improper lens use.
  • Improper contact lens use can lead to severe corneal ulcers and perforations.

Observation:

  • A 33-year-old woman developed a corneal ulcer and infiltration with early endophthalmitis after using new soft contact lenses.
  • The patient reported correct soft contact lens usage, suggesting an alternative infection source.

Findings:

  • Histological and microbiological exams confirmed a severe corneal infection by Pseudomonas aeruginosa, resistant to mezlocillin and intermediately resistant to gentamicin.
  • Treatment with systemic and local antibiotics, along with penetrating keratoplasty, halted endophthalmitis progression.

Implications:

  • This case suggests nosocomial infection as a cause of Pseudomonas aeruginosa keratitis, even with proper contact lens hygiene.
  • Contact with individuals in intensive care units may pose a risk for nosocomial infections in contact lens wearers.
  • Strict adherence to hygiene protocols by patients and healthcare staff is essential for preventing serious contact lens-related eye infections.

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