Contact-Lens-Related Microbial Keratitis: Case Report

Bacterial keratitis is a serious, potentially blinding, This case report reviews the management of a patient with bacterial keratitis and discusses the etiology, differential diagnosis, classification and risk factors associated with the condition.

Ohtalmology departement, August 20th, 1954 Hopital Ibn Rochd University, Centre Faculty of Medicine and Pharmacy Casablanca Hassan II University, Morocco

We report the clinical case of a young patient of 30 years old, wearing contact lenses for 2 years. Hecame to the emergency with a painful red eye with visual acuity decrease; He came to the emergency with a painful red eye with visual acuity decrease, and the ophthalmologic examination had objectified a serious corneal abscess.

The patient was 30 years old,  his  medical history was negative, and he denied either taking medication or having allergies and had been wearing contact lenses for 2 years. He presented to the emergency room with a painful red left eye with a decrease in visual acuity.  the visual acuity of the left eye was limited to hand mouvements, 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. The bacteriological sample revealed the presence of Pseudomonas aeruginosa.

This case of bacterial keratitis demonstrated how rapid diagnosis and effective management in the initial stages of the condition resulted in quick resolution and prevented vision loss. Patient education on lens handling is part of the responsibility of the ophthalmologist and the lens prescriber. Education will hopefully decrease the incidence of this potentially devastating infection.