Microbiology of contact lens-related keratitis

We reviewed 397 cases of microbial keratitis examined at the Massachusetts Eye and Ear Infirmary, Boston, MA, U.S.A., from January 1982 through December 1985. Of these, 136 cases (34%) were related to contact lens use. Extended-wear contact lenses were used by 107 (79%) of these patients. Cosmetic c...

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Bibliographic Details
Published inCornea Vol. 8; no. 4; p. 281
Main Authors Schein, O D, Ormerod, L D, Barraquer, E, Alfonso, E, Egan, K M, Paton, B G, Kenyon, K R
Format Journal Article
LanguageEnglish
Published United States 01.12.1989
Subjects
Adult
Bacteria - isolation & purification
Contact Lenses - adverse effects
Eye Diseases - complications
Female
Humans
Keratitis - complications
Keratitis - etiology
Keratitis - microbiology
Male
Middle Aged
Retrospective Studies
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Summary:We reviewed 397 cases of microbial keratitis examined at the Massachusetts Eye and Ear Infirmary, Boston, MA, U.S.A., from January 1982 through December 1985. Of these, 136 cases (34%) were related to contact lens use. Extended-wear contact lenses were used by 107 (79%) of these patients. Cosmetic contact lenses accounted for 59 (44%) of lens-related cases, aphakic contact lenses 44 (32%), and therapeutic (bandage) contact lenses 33 (24%). Fifty-three microbial keratitis cases associated with contact lens wear were culture-positive: 28 (52%) were gram-positive, and 19 (36%) were gram-negative. Mixed cultures, fungi, and Acanthamoeba accounted for two cases (4%) each. Pseudomonas aeruginosa was specifically associated with cosmetic soft contact lens use.
ISSN:0277-3740
1536-4798
DOI:10.1097/00003226-198912000-00011