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Contact Lens-Associated Serratia marcescens Keratitis: A Case Report
Noor Alqudah1, Mais Tashtoush1
1Department of Special Surgery, Division of Ophthalmology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
Clinical Optometry
|August 12, 2025
Summary
Serratia marcescens keratitis, a severe eye infection, can occur in contact lens wearers. Prompt diagnosis and combination antibiotic therapy are crucial for successful treatment and vision recovery.
Area of Science:
- Ophthalmology
- Infectious Diseases
Background:
- Serratia marcescens keratitis is a rare but serious ocular infection.
- Contact lens wear is a significant risk factor for developing this condition.
Observation:
- A young female contact lens user presented with acute ocular symptoms.
- Clinical examination revealed signs of severe microbial keratitis, including corneal abscess and anterior chamber inflammation.
Findings:
- Initial treatment with moxifloxacin was ineffective.
- Cultures confirmed Serratia marcescens, leading to a tailored treatment regimen with fortified ceftriaxone.
- The patient achieved complete visual recovery with minimal scarring.
Implications:
- This case highlights the importance of prompt microbiological diagnosis in managing severe keratitis.
- Aggressive, targeted antibiotic therapy is essential for limb salvage in Serratia marcescens infections.
- Contact lens hygiene practices are critical to prevent such sight-threatening infections.
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