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Cosmetic Soft Contact Lens Associated Ulcerative Keratitis in Southern Saudi Arabia

PURPOSE: To review the microbiologic profile, clinical course, treatment, and outcome of patients with cosmetic contact lens (CL)-associated ulcerative keratitis. MATERIALS AND METHODS: Observational noncomparative case series selected from an ongoing prospective series. Forty-six subjects examined...

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Autor principal: Abdelkader, Almamoun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4123275/
https://www.ncbi.nlm.nih.gov/pubmed/25100907
http://dx.doi.org/10.4103/0974-9233.134677
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author Abdelkader, Almamoun
author_facet Abdelkader, Almamoun
author_sort Abdelkader, Almamoun
collection PubMed
description PURPOSE: To review the microbiologic profile, clinical course, treatment, and outcome of patients with cosmetic contact lens (CL)-associated ulcerative keratitis. MATERIALS AND METHODS: Observational noncomparative case series selected from an ongoing prospective series. Forty-six subjects examined at a corneal specialty practice in Abha, southern Saudi Arabia between April 2012 and June 2013, who presented with corneal stromal infiltrate on slit-lamp examination, were included in the study. RESULTS: All patients were emmetropic, and lenses were worn solely for cosmetic purposes. Nine (19.5%) of 46 CL-wearing patients presented with laboratory-proven infectious keratitis. Pseudomonas was the most common organism (6/9; 66.6%). Staphylococcus species were the second most common, occurring in two (22.2%) of the nine cases. Streptococcus viridans in one case (11%). Laboratory-based medical therapy led to the healing of ulcers in all cases. Thirty-seven (80.4%) patients had sterile infiltrates. CONCLUSIONS: Over-the-counter use of cosmetic lenses is rapidly increasing. The easy availability of these lenses is resulting in severe sight-threatening complications in some young emmetropic individuals. Prompt treatment of microbial keratitis is important to prevent vision loss.
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spelling pubmed-41232752014-08-06 Cosmetic Soft Contact Lens Associated Ulcerative Keratitis in Southern Saudi Arabia Abdelkader, Almamoun Middle East Afr J Ophthalmol Original Article PURPOSE: To review the microbiologic profile, clinical course, treatment, and outcome of patients with cosmetic contact lens (CL)-associated ulcerative keratitis. MATERIALS AND METHODS: Observational noncomparative case series selected from an ongoing prospective series. Forty-six subjects examined at a corneal specialty practice in Abha, southern Saudi Arabia between April 2012 and June 2013, who presented with corneal stromal infiltrate on slit-lamp examination, were included in the study. RESULTS: All patients were emmetropic, and lenses were worn solely for cosmetic purposes. Nine (19.5%) of 46 CL-wearing patients presented with laboratory-proven infectious keratitis. Pseudomonas was the most common organism (6/9; 66.6%). Staphylococcus species were the second most common, occurring in two (22.2%) of the nine cases. Streptococcus viridans in one case (11%). Laboratory-based medical therapy led to the healing of ulcers in all cases. Thirty-seven (80.4%) patients had sterile infiltrates. CONCLUSIONS: Over-the-counter use of cosmetic lenses is rapidly increasing. The easy availability of these lenses is resulting in severe sight-threatening complications in some young emmetropic individuals. Prompt treatment of microbial keratitis is important to prevent vision loss. Medknow Publications & Media Pvt Ltd 2014 /pmc/articles/PMC4123275/ /pubmed/25100907 http://dx.doi.org/10.4103/0974-9233.134677 Text en Copyright: © Middle East African Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Abdelkader, Almamoun
Cosmetic Soft Contact Lens Associated Ulcerative Keratitis in Southern Saudi Arabia
title Cosmetic Soft Contact Lens Associated Ulcerative Keratitis in Southern Saudi Arabia
title_full Cosmetic Soft Contact Lens Associated Ulcerative Keratitis in Southern Saudi Arabia
title_fullStr Cosmetic Soft Contact Lens Associated Ulcerative Keratitis in Southern Saudi Arabia
title_full_unstemmed Cosmetic Soft Contact Lens Associated Ulcerative Keratitis in Southern Saudi Arabia
title_short Cosmetic Soft Contact Lens Associated Ulcerative Keratitis in Southern Saudi Arabia
title_sort cosmetic soft contact lens associated ulcerative keratitis in southern saudi arabia
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4123275/
https://www.ncbi.nlm.nih.gov/pubmed/25100907
http://dx.doi.org/10.4103/0974-9233.134677
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