A Management Dilemma: Infectious Keratitis Associated with Soft Contact Lens Use and Dubious Treatment Compliance

Purpose. To present a case of infectious keratitis caused by the microorganism Serratia marcescens in a contact lens user and further to confer on the most advantageous management of comparable situations. Case. After altering the routine that she used for contact lens disinfection, a 24-year-old pa...

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Main Authors: Konstantinos T. Tsaousis, Georgios Sakkias, Nikolaos Kozeis, Periklis Tahiaos
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2010/415737
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author Konstantinos T. Tsaousis
Georgios Sakkias
Nikolaos Kozeis
Periklis Tahiaos
author_facet Konstantinos T. Tsaousis
Georgios Sakkias
Nikolaos Kozeis
Periklis Tahiaos
author_sort Konstantinos T. Tsaousis
collection DOAJ
description Purpose. To present a case of infectious keratitis caused by the microorganism Serratia marcescens in a contact lens user and further to confer on the most advantageous management of comparable situations. Case. After altering the routine that she used for contact lens disinfection, a 24-year-old patient presented with pain and conjunctival redness in both eyes. Slit-lamp examination revealed two infiltrates in the inferior part of the cornea in the right eye and five smaller infiltrates in the superior half of the left cornea. Appropriate treatment, after hospitalization, improved the symptoms while culture of the contact lens material revealed Serratia marcescens as the responsible infectious factor. Conclusion. Enhancing the availability of information with respect to contact lens users and customized analysis regarding treatment for a particular complication could be beneficial in order to reduce the frequency of admission to the eye clinic due to infectious keratitis. In addition, rapid laboratory testing of the infected materials should be a priority for selection of the optimal treatment regimen.
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institution Kabale University
issn 1687-9627
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spelling doaj-art-44c0611b805445b490d8ee7a52e2c2be2025-02-03T01:02:54ZengWileyCase Reports in Medicine1687-96271687-96352010-01-01201010.1155/2010/415737415737A Management Dilemma: Infectious Keratitis Associated with Soft Contact Lens Use and Dubious Treatment ComplianceKonstantinos T. Tsaousis0Georgios Sakkias1Nikolaos Kozeis2Periklis Tahiaos3Department of Ophthalmology, “Hippokration” General Hospital, 54642 Thessaloniki, GreeceDepartment of Ophthalmology, “Hippokration” General Hospital, 54642 Thessaloniki, GreeceDepartment of Ophthalmology, “Hippokration” General Hospital, 54642 Thessaloniki, GreeceDepartment of Ophthalmology, “Hippokration” General Hospital, 54642 Thessaloniki, GreecePurpose. To present a case of infectious keratitis caused by the microorganism Serratia marcescens in a contact lens user and further to confer on the most advantageous management of comparable situations. Case. After altering the routine that she used for contact lens disinfection, a 24-year-old patient presented with pain and conjunctival redness in both eyes. Slit-lamp examination revealed two infiltrates in the inferior part of the cornea in the right eye and five smaller infiltrates in the superior half of the left cornea. Appropriate treatment, after hospitalization, improved the symptoms while culture of the contact lens material revealed Serratia marcescens as the responsible infectious factor. Conclusion. Enhancing the availability of information with respect to contact lens users and customized analysis regarding treatment for a particular complication could be beneficial in order to reduce the frequency of admission to the eye clinic due to infectious keratitis. In addition, rapid laboratory testing of the infected materials should be a priority for selection of the optimal treatment regimen.http://dx.doi.org/10.1155/2010/415737
spellingShingle Konstantinos T. Tsaousis
Georgios Sakkias
Nikolaos Kozeis
Periklis Tahiaos
A Management Dilemma: Infectious Keratitis Associated with Soft Contact Lens Use and Dubious Treatment Compliance
Case Reports in Medicine
title A Management Dilemma: Infectious Keratitis Associated with Soft Contact Lens Use and Dubious Treatment Compliance
title_full A Management Dilemma: Infectious Keratitis Associated with Soft Contact Lens Use and Dubious Treatment Compliance
title_fullStr A Management Dilemma: Infectious Keratitis Associated with Soft Contact Lens Use and Dubious Treatment Compliance
title_full_unstemmed A Management Dilemma: Infectious Keratitis Associated with Soft Contact Lens Use and Dubious Treatment Compliance
title_short A Management Dilemma: Infectious Keratitis Associated with Soft Contact Lens Use and Dubious Treatment Compliance
title_sort management dilemma infectious keratitis associated with soft contact lens use and dubious treatment compliance
url http://dx.doi.org/10.1155/2010/415737
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