CASE REPORT : SEVERE BACTERIAL KERATITIS IN A RIGID CONTACT LENS WEARER
Published 2022
- 26th ESCRS Winter Meeting
Reference: P182
| Type: Abstracts
| DOI:
10.82333/wvcn-ht69
Authors:
Zineb Morchid* 1
, Hamza Alaoui 2
, Neama Bouhazzama 2
, Loubna El Maaloum 2
, Bouchra Allali 2
, Asmae El Kettani 2
1Ophtalmology,Hopital 20 Aout 1953, CHU Ibn Rochd, Casablanca, Morocco,casablanca,Morocco, 2Ophtalmologie,Hôpital 20 Aout 1953, CHU Ibn Rochd, Casablanca, Maroc,casablanca,Morocco
Purpose
Bacterial keratitis on contact lenses is a serious pathology that can rapidly jeopardize the visual functional prognosis but is avoidable, hence the interest of prevention based on awareness.
Setting
Ohtalmology departement, August 20th, 1954 Hopital Ibn Rochd University, Centre Faculty of Medicine and Pharmacy Casablanca Hassan II University, Morocco
Methods
We report the clinical case of a young patient of 21 years old, having as antecedent a strong myopia and wearing contact lenses for 3 years. He consulted for painful red eye with visual acuity decrease, and the ophthalmologic examination had objectified a serious corneal abscess.
Results
The patient was 21 years old, had a history of high myopia and had been wearing contact lenses for 3 years. He presented to the emergency room with a painful red left eye with a decrease in visual acuity. The ophthalmological examination showed that the visual acuity of the left eye was limited to hand movements, the examination of the anterior segment showed a ground-glass corneal aspect: subtotal central ulcer with dirty background, necrotic stroma, reactive hypopyon of the anterior chamber. A local broad-spectrum antibiotic treatment was started while waiting for the results of bacteriological, parasitological and myocological samples. The bacteriological sample revealed the presence of Pseudomonas aeruginosa.
Conclusion
Patient education on lens handling is part of the responsibility of the ophthalmologist and the lens prescriber.
A consultation with the ophthalmologist is necessary at the onset of simple eye redness, pain, photophobia, or decreased visual acuity.
It is important to insist on the respect of basic hygiene rules for all contact lens wearers:
- Use of an appropriate cleaning solution.
- Avoid bathing with your lenses
- Do not rinse your lenses with tap water or mineral water