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Fusarium endophthalmitis following keratitis associated with contact lenses
Krista D Rosenberg1, Harry W Flynn, Eduardo C Alfonso
1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Florida, USA.
Abstract:
A recent outbreak of fungal keratitis associated with contact lens use has been reported. During the past 4 months, a total of 36 patients with Fusarium keratitis have presented to one medical center. Two cases of Fusarium endophthalmitis resulting from this series of fungal keratitis associated with soft contact lens wear are described.
Insights
An outbreak of Fusarium keratitis linked to contact lens use affected 36 patients. Two severe cases progressed to Fusarium endophthalmitis, a serious eye infection.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Mycology
Background:
- Contact lens wear is a common risk factor for microbial keratitis.
- Fungal keratitis, particularly Fusarium keratitis, can lead to severe visual impairment.
Observation:
- A cluster of 36 Fusarium keratitis cases associated with contact lens wear was observed over four months.
- This outbreak highlights a potential rise in contact lens-related fungal eye infections.
Findings:
- Two patients developed Fusarium endophthalmitis, a severe intraocular infection, secondary to fungal keratitis.
- Soft contact lens wear was identified as the common risk factor in these cases.
Implications:
- Increased vigilance and public health awareness regarding contact lens hygiene are crucial.
- Prompt diagnosis and aggressive treatment are essential to prevent vision loss from fungal keratitis and endophthalmitis.
- Further research into the specific contact lens-related factors contributing to this outbreak is warranted.
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