Unusual morphology in orthokeratology contact lens-related cornea ulcer.

作者: Jenn-Chyuan Wang , Li Lim

DOI: 10.1097/01.ICL.0000075011.87891.39

关键词:

摘要: Purpose. To report a case of unusual ulcer morphology in orthokeratology-related corneal ulcer. Methods. A single observational 14-year-old Chinese female myope with 1.5-month experience wearing overnight B.E. orthokeratology (Capricornia) lenses and presenting right stellate-shaped central cornea abscess. Cornea scrapings for Gram stains, culture, antibiotic sensitivity were performed. The patient was prescribed hourly fortified cefazolin gentamicin drops. Results. Pseudomonas aeruginosa grew on blood chocolate agar cultures. successfully treated antibiotics reepithelialized over 5 days. There residual scar. refraction changed from −4.25 sphere OD −1.75 ×160 OS to −3.50 −1.50 ×165, giving visual acuity 20/ 25 20/20 OS. Conclusions. flatter fit may be associated morphology.

参考文章(11)
KENNETH A. POLSE, RICHARD J. BRAND, RODERICK J. KEENER, JOAN S. SCHWALBE, DAVID W. VASTINE, The Berkeley Orthokeratology Study, part III: safety Optometry and Vision Science. ,vol. 60, pp. 321- 328 ,(1983) , 10.1097/00006324-198304000-00011
Scott MacRae, Carol Herman, R. Doyle Stulting, Richard Lippman, David Whipple, Elisabeth Cohen, Donald Egan, Charles P. Wilkinson, Clifford Scott, Ronald Smith, Dave Phillips, Corneal ulcer and adverse reaction rates in premarket contact lens studies. American Journal of Ophthalmology. ,vol. 111, pp. 457- 465 ,(1991) , 10.1016/S0002-9394(14)72381-5
Oliver D. Schein, L. David Ormerod, Elena Barraquer, Eduardo Alfonso, Kathleen M. Egan, Barbara G. Paton, Kenneth R. Kenyon, Microbiology of contact lens-related keratitis. Cornea. ,vol. 8, pp. 281- 285 ,(1989) , 10.1097/00003226-198912000-00011
Ko-Hua Chen, Tung-Mei Kuang, Wen-Ming Hsu, Serratia Marcescens corneal ulcer as a complication of orthokeratology. American Journal of Ophthalmology. ,vol. 132, pp. 257- 258 ,(2001) , 10.1016/S0002-9394(01)00931-X
Oliver D Schein, Patricia O Buehler, John F Stamler, David D Verdier, Joanne Katz, The Impact of Overnight Wear on the Risk of Contact Lens—Associated Ulcerative Keratitis Archives of Ophthalmology. ,vol. 112, pp. 186- 190 ,(1994) , 10.1001/ARCHOPHT.1994.01090140062024
Eugene C. Poggio, Robert J. Glynn, Oliver D. Schein, Johanna M. Seddon, Maura J. Shannon, Vincent A. Scardino, Kenneth R. Kenyon, The Incidence of Ulcerative Keratitis among Users of Daily-Wear and Extended-Wear Soft Contact Lenses The New England Journal of Medicine. ,vol. 321, pp. 779- 783 ,(1989) , 10.1056/NEJM198909213211202
HELEN A. SWARBRICK, GUNTER WONG, DANIEL J. O??LEARY, Corneal response to orthokeratology. Optometry and Vision Science. ,vol. 75, pp. 791- 799 ,(1998) , 10.1097/00006324-199811000-00019
MARJORIE J. RAH, JOHN MARK JACKSON, LISA A. JONES, HARUE J. MARSDEN, MELISSA D. BAILEY, and JOSEPH T. BARR, Overnight orthokeratology: preliminary results of the Lenses and Overnight Orthokeratology (LOOK) study. Optometry and Vision Science. ,vol. 79, pp. 598- 605 ,(2002) , 10.1097/00006324-200209000-00011
Kenneth Hutchinson, Andrew Apel, Infectious keratitis in orthokeratology Clinical and Experimental Ophthalmology. ,vol. 30, pp. 49- 51 ,(2002) , 10.1046/J.1442-9071.2002.00483.X
Oliver D. Schein, Robert J. Glynn, Eugene C. Poggio, Johanna M. Seddon, Kenneth R. Kenyon, , The relative risk of ulcerative keratitis among users of daily-wear and extended-wear soft contact lenses. A case-control study. Microbial Keratitis Study Group. The New England Journal of Medicine. ,vol. 321, pp. 773- 778 ,(1989) , 10.1056/NEJM198909213211201