In vitro efficacy of contact lens solutions against various corneal fungal isolates

Antonio Pinna1, Donatella Usai, Stefania Zanetti

  • 1Section of Ophthalmology, Department of Surgical, Microsurgical, and Medical Sciences, University of Sassari, Sassari, Italy. apinna@uniss.it

Abstract

Insights

Most contact lens solutions fail to kill fungi. Only 3% hydrogen peroxide without a neutralizer effectively eradicated all tested fungal isolates after a 6-hour exposure, highlighting potential risks with contaminated contact lens care systems.

Area of Science:

  • Ophthalmology
  • Mycology
  • Microbiology

Background:

  • Fungal keratitis is a serious eye infection.
  • Contaminated contact lens solutions pose a risk for ocular infections.
  • Filamentous fungi are common causes of fungal keratitis.

Purpose of the Study:

  • To evaluate the efficacy of various commercial contact lens disinfecting solutions against fungal corneal isolates.
  • To determine the susceptibility of Aspergillus, Fusarium, and Curvularia species to common disinfectants.

Main Methods:

  • Thirteen fungal isolates from corneal infections were tested.
  • Six commercially available contact lens solutions were evaluated.
  • Fungal suspensions were exposed to solutions for 1, 6, 8, and 24 hours before plating on agar.

Main Results:

  • Only 3% hydrogen peroxide (Oxysept Comfort without catalase) eradicated all fungi within 6 hours.
  • Other solutions showed partial ineffectiveness, even after 24 hours.
  • Regard and Dua Elite demonstrated the poorest performance, with significant fungal growth after 6 hours.

Conclusions:

  • Many common contact lens disinfecting solutions may be insufficient for eliminating filamentous fungi.
  • A 6-hour exposure to 3% hydrogen peroxide without a neutralizer is effective against a range of fungal strains.
  • Proper disinfection protocols are crucial to prevent fungal contamination in contact lens care.