Zapalenie rogówki a użytkowanie soczewek kontaktowych – opis przypadku
Contact Lens – related Keratitis – Case Report
Monika Jasielska, Ewa Rakowska, Katarzyna Korpysz, Monika Olejniczak, Kinga Tochman, Jerzy Mackiewicz
Introduction: Contact lenses is the most important factor that predisposes to the development of bacterial ulcerative keratitis. The frequency of incidence and ulcerative keratitis among contact lens wearers is 0.25%, whereas Pseudomonas aeruginosa is responsible for 60% cases of inflammation.
Case study: 14-years old boy, active contact lens user was admitted to our department due to unresponsiveness to treatment and fulminant course of ulcerative keratitis to his left eye. He was previously treated for two weeks in another center. On admission to the hospital, the visual acuity was hand movement in front of the eye. Slit lamp examination showed keratomalacia with corneal perforation, iris prolapse and abolition of anterior segment of the eyeball. Further segments of the eyeball were not visible. The bacteriological examination of the content of container and material from cornea showed Pseudomonas aeruginosa. Antibiotic therapy and penetrating keratoplasty were used as the treatment method. Two months after the course, best corrected visual acuity was 0.4. Three months after surgery, graft rejection episode occurred. After steroids and cyclosporine administration improvement of the local condition was observed and visual acuity achieved 0.4 level.
Conclusion: Failure to comply with hygiene when using contact lenses, can lead to severe inflammation of the cornea, even blindness. The implementation of appropriate treatment can prevent serious complications.
Summary: keratitis, cornea ulceration, contact lenses, corneal graft, corneal graft rejection.
Keywords: zapalenie rogówki, owrzodzenie rogówki, soczewki kontaktowe, przeszczep rogówki, odrzut przeszczepu rogówki.