Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Rasoulinejad, Seyed Ahmad, Sadeghi, Mahmoud, Montazeri, Mohammad, Hedayati Goudarzi, Hesam, Montazeri, Mahmood, Akbarian, Nadali
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Shahid Beheshti University of Medical Sciences 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4614568/
https://www.ncbi.nlm.nih.gov/pubmed/26495376
_version_ 1782396401182834688
author Rasoulinejad, Seyed Ahmad
Sadeghi, Mahmoud
Montazeri, Mohammad
Hedayati Goudarzi, Hesam
Montazeri, Mahmood
Akbarian, Nadali
author_facet Rasoulinejad, Seyed Ahmad
Sadeghi, Mahmoud
Montazeri, Mohammad
Hedayati Goudarzi, Hesam
Montazeri, Mahmood
Akbarian, Nadali
author_sort Rasoulinejad, Seyed Ahmad
collection PubMed
description 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.
format Online
Article
Text
id pubmed-4614568
institution National Center for Biotechnology Information
language English
publishDate 2014
publisher Shahid Beheshti University of Medical Sciences
record_format MEDLINE/PubMed
spelling pubmed-46145682015-10-22 Clinical Presentation and Microbial Analyses of Contact Lens Keratitis; an Epidemiologic Study Rasoulinejad, Seyed Ahmad Sadeghi, Mahmoud Montazeri, Mohammad Hedayati Goudarzi, Hesam Montazeri, Mahmood Akbarian, Nadali Emerg (Tehran) Brief Report 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. Shahid Beheshti University of Medical Sciences 2014 /pmc/articles/PMC4614568/ /pubmed/26495376 Text en © 2014 Shahid Beheshti University of Medical Sciences. All rights reserved. This is an open-access article distributed under the terms of the Creative Commons Attribution NonCommercial 3.0 License (CC BY-NC 3.0), (http://creativecommons.org/licenses/by-nc/3.0/)which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.
spellingShingle Brief Report
Rasoulinejad, Seyed Ahmad
Sadeghi, Mahmoud
Montazeri, Mohammad
Hedayati Goudarzi, Hesam
Montazeri, Mahmood
Akbarian, Nadali
Clinical Presentation and Microbial Analyses of Contact Lens Keratitis; an Epidemiologic Study
title Clinical Presentation and Microbial Analyses of Contact Lens Keratitis; an Epidemiologic Study
title_full Clinical Presentation and Microbial Analyses of Contact Lens Keratitis; an Epidemiologic Study
title_fullStr Clinical Presentation and Microbial Analyses of Contact Lens Keratitis; an Epidemiologic Study
title_full_unstemmed Clinical Presentation and Microbial Analyses of Contact Lens Keratitis; an Epidemiologic Study
title_short Clinical Presentation and Microbial Analyses of Contact Lens Keratitis; an Epidemiologic Study
title_sort clinical presentation and microbial analyses of contact lens keratitis; an epidemiologic study
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4614568/
https://www.ncbi.nlm.nih.gov/pubmed/26495376
work_keys_str_mv AT rasoulinejadseyedahmad clinicalpresentationandmicrobialanalysesofcontactlenskeratitisanepidemiologicstudy
AT sadeghimahmoud clinicalpresentationandmicrobialanalysesofcontactlenskeratitisanepidemiologicstudy
AT montazerimohammad clinicalpresentationandmicrobialanalysesofcontactlenskeratitisanepidemiologicstudy
AT hedayatigoudarzihesam clinicalpresentationandmicrobialanalysesofcontactlenskeratitisanepidemiologicstudy
AT montazerimahmood clinicalpresentationandmicrobialanalysesofcontactlenskeratitisanepidemiologicstudy
AT akbariannadali clinicalpresentationandmicrobialanalysesofcontactlenskeratitisanepidemiologicstudy