In Vitro Antimicrobial Efficacy of Silver Lens Cases Used With a Multipurpose Disinfecting Solution

Ananya Datta1, Mark Willcox1, Fiona Stapleton1

  • 1School of Optometry and Vision Science, University of New South Wales Sydney, Australia.

Abstract

Insights

Silver-copolymerized contact lens cases significantly reduce bacterial contamination compared to standard cases. Their combination with multipurpose disinfecting solution (MPDS) enhances antibacterial activity, potentially lowering infection risk.

Area of Science:

  • Ophthalmology and Microbiology
  • Biomaterials and Nanotechnology

Background:

  • Contact lens wear is associated with microbial keratitis, often linked to contaminated lens storage cases.
  • Standard contact lens cases may harbor bacteria, contributing to ocular infections.

Purpose of the Study:

  • To evaluate the in vitro antibacterial efficacy of silver-copolymerized contact lens cases versus non-silver cases.
  • To assess the combined effect of silver cases and a multipurpose disinfecting solution (MPDS) on bacterial reduction.

Main Methods:

  • Bacterial adherence and survival assays using Gram-positive and Gram-negative bacteria on silver and non-silver cases.
  • Testing the efficacy of silver cases with MPDS in the presence of organic soil and contact lenses.
  • Enumeration of surviving bacteria after disinfection challenges.

Main Results:

  • Silver cases demonstrated significantly lower microbial recovery across all tested bacterial strains (P < 0.005).
  • The combination of silver cases and MPDS achieved a maximum 3.00 ± 0.5 Log10 CFU/mL reduction, superior to silver cases alone (1.97 ± 0.4 Log10 CFU/mL).
  • Organic soil and contact lenses reduced disinfection efficacy by a maximum of 1.68 ± 0.2 Log10 CFU/mL for both MPDS and case types.

Conclusions:

  • Silver-copolymerized cases, in conjunction with hypochlorite-producing MPDS, effectively reduce microbial contamination in contact lens cases.
  • This technology shows promise for limiting case contamination and decreasing the incidence of contact lens-related microbial diseases.

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