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First Author: C.Hsiao TAIWAN
Co Author(s): Y. Lee
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To study the clinical and microbiological profiles of pediatric patients with microbial keratitis
Chang Gung Memorial Hospital, Linkou, Taiwan
The medical records were reviewed of patients aged 16 years or younger treated for microbial keratitis in our hospital from July 1, 2008 to June 31, 2012. The clinical features, precipitating factors, microbial culture results, clinical course, and visual outcomes were analyzed.
Fifty-five eyes of 52 patients were included; 31 and 21 patients were outpatients and inpatients, respectively. Contact lens wear (29cases [55.7%]) and trauma (8 cases [15.4%]) were major risk factors. Twelve of the 29 contact lenses were rigid gas permeable lenses that were worn overnight for orthokeratology. Twenty-seven (49.1%) of the 55 eyes were culture positive. The most common isolates were Pseudomonas aeruginosa (7 eyes [25.9%]) and Coagulase negative staphylococci (5 eyes [18.5%]). Of the 30 eyes that had a best-corrected visual acuity available at the last follow- up, 11 eyes achieved best-corrected visual acuity of 20/20.
Contact lens wear remains the most common risk factor for microbial keratitis in pediatric groups. The hygiene of contact lens, especially overnight orthokeratology, should be emphasized.