clinical presentation and microbial analyses of contact lens keratitis; an epidemiologic study
نویسندگان
چکیده
introduction: microbial keratitis is an infective process of the cornea with a potentially and serious visual impairments. contact lenses are a major cause of microbial keratitis in the developed countries especially among young people. therefore, the purpose of the present study was to evaluate the frequency and microbiological characteristic of clk in patients referred to the emergency department (ed) of teaching hospitals, babol, iran. methods: this is a cross-sectional study of all patients with contact lens induced corneal ulcers admitted to the teaching hospitals of babol, iran, from 2011- 2013. an ophthalmologist examined patients with the slit-lamp and clinical features of them were noted (including pain, redness, foreign body sensation, chemosis, epiphora, blurred vision, discomfort, photophobia, discharge, ocular redness and swelling). all suspected infectious corneal ulcers were scraped for microbial culture and two slides were prepared. data were analyzed using spss software, version 18.0. results: a total of 14 patients (17 eyes) were recruited into the study (100% female). the patients’ age ranged from 16-37 years old (mean age 21.58±7.23 years). the most prevalent observed clinical signs were pain and redness. three samples reported as sterile. the most common isolated causative organism was pseudomonas aeroginosa (78.6%), staphylococcus aureus 14.3%, and enterobacter 7.1%, respectively. treatment outcome was excellent in 23.5%, good in 47.1%, and poor in 29.4% of cases. conclusion: improper lens wear and care as well as the lack of awareness about the importance of aftercare visits have been identified as potential risk factors for the corneal ulcer among contact lens wearers. training and increasing the awareness of adequate lens care and disinfection practices, consulting with an ophthalmologist, and frequent replacement of contact lens storage cases would greatly help reducing the risk of microbial keratitis.
منابع مشابه
Clinical Presentation and Microbial Analyses of Contact Lens Keratitis; an Epidemiologic Study
INTRODUCTION Microbial keratitis is an infective process of the cornea with a potentially and serious visual impairments. Contact lenses are a major cause of microbial keratitis in the developed countries especially among young people. Therefore, the purpose of the present study was to evaluate the frequency and microbiological characteristic of CLK in patients referred to the emergency departm...
متن کاملClinical Presentation and Antibiotic Susceptibility of Contact Lens Associated Microbial Keratitis.
Introduction. In recent years, the number of contact lens wearers has dramatically increased in Iran, particularly in youngsters. The purpose of current study was to assess the clinical presentation and antibiotic susceptibility of contact lens related microbial keratitis in Ahvaz, southwest of Iran. Methodology. A cross-sectional investigation of 26 patients (33 eyes) with contact lens induced...
متن کاملMicrobial Keratitis in Contact Lens Wearers
Microbial keratitis (MK) is an inflammation of the cornea with sight-threatening potential. It can lead to serious visual impairments followed by permanent visual loss if untreated. The predisposition factors for the MK include ocular surface disease, ocular trauma, ocular surgery, contact lens (CL) wear and systemic diseases. CL wear is one of the most significant predisposition factor for CL ...
متن کاملThe incidence of contact lens-related microbial keratitis in Australia.
OBJECTIVE To establish the absolute risk of contact lens (CL)-related microbial keratitis, the incidence of vision loss and risk factors for disease. DESIGN A prospective, 12-month, population-based surveillance study. PARTICIPANTS New cases of CL-related microbial keratitis presenting in Australia over a 12-month period were identified through surveillance of all ophthalmic practitioners (...
متن کاملContact lens induced keratitis associated with contact lens wear.
PURPOSE To evaluate clinical characteristics, risk factors, management and outcome of contact lens induced keratitis (CLIK) associated with contact lens wear. METHODS The study comprised all consecutive patients presenting with contact lens related presumed microbial keratitis during a 12-month period at our department. Detailed demographic data, type of contact lens, duration of lens wear, w...
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عنوان ژورنال:
emergency journalجلد ۲، شماره ۴، صفحات ۱۷۴-۱۷۷
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