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[Keratitis associated with contact lens wear]
Jaakko S Mattila1, Juha Holopainen
1Helsingin yliopistollinen keskussairaala, silmäklinikka.
Duodecim; Laaketieteellinen Aikakauskirja
|November 6, 2013
Summary
Contact lens wear can lead to keratitis, a serious eye infection. Prompt diagnosis and treatment are crucial to prevent vision loss and corneal scarring.
Area of Science:
- Ophthalmology
- Microbiology
Context:
- Contact lens wear is a common practice globally.
- Keratitis is a significant, albeit rare, complication of contact lens use.
- This condition poses a substantial risk to visual acuity.
Purpose:
- To summarize the clinical presentation and common etiology of contact lens-related keratitis.
- To emphasize the importance of diagnostic cultures in guiding treatment.
- To highlight the potential long-term consequences of keratitis.
Summary:
- Keratitis presents as a painful, red eye with discharge, often showing a fluorescein-staining corneal lesion.
- Pseudomonas aeruginosa is the most frequent causative agent.
- Corneal and conjunctival cultures, along with contact lens cultures, are vital for effective treatment strategies.
Impact:
- While treatable, keratitis invariably results in corneal scarring.
- Restoring vision may necessitate subsequent surgical procedures.
- Early detection and management are key to mitigating visual impairment.
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