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Bilateral simultaneous infective keratitis.

Lai Hiu On Annie1, Manotosh Ray2

  • 1Department of Ophthalmology, National University Hospital, Singapore.

Contact Lens & Anterior Eye : the Journal of the British Contact Lens Association
|April 1, 2017
PubMed
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Bilateral simultaneous infective keratitis, a serious complication of contact lens wear, is uncommon. Pseudomonas aeruginosa was the most frequent bacterial cause in this case series, with soft disposable contact lens use being the primary risk factor.

Area of Science:

  • Ophthalmology
  • Microbiology

Background:

  • Bilateral simultaneous infective keratitis is a rare but severe ocular condition.
  • Understanding its risk factors and causative agents is crucial for effective management.

Purpose of the Study:

  • To analyze the demographics, risk factors, clinical and microbiological characteristics, and treatment outcomes of bilateral simultaneous infective keratitis.

Main Methods:

  • Retrospective case series of patients diagnosed with bilateral simultaneous infective keratitis between January 1, 2011, and August 31, 2016.
  • Analysis included patient demographics, identified risk factors, clinical presentation, microbiological findings, and treatment responses.

Main Results:

  • Five patients (ten eyes) were identified; all were disposable soft contact lens wearers.
Keywords:
BilateralInfectiveKeratitis

Related Experiment Videos

  • Pseudomonas aeruginosa was the most frequently isolated bacterium.
  • Infection resolved with medical treatment in most cases, but one patient required corneal transplantation.

    • Conclusions:

    • Soft disposable contact lens wear is the predominant risk factor for bilateral simultaneous infective keratitis.
    • Pseudomonas aeruginosa is the most common pathogen identified.
    • This condition represents a significant complication of contact lens use in immunocompetent individuals.