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Changing trends in contact lens associated corneal ulcers: an overview of 116 cases

Changing trends in contact lens associated corneal ulcers: an overview of 116 cases

Clao Journal 12(3): 145-149

We report our experience with 60 contact lens associated corneal ulcers requiring hospitalization on the Cornea Service at Wills Eye Hospital [Philadelphia, Pennsylvania, USA], between July 1, 1983 and December 30, 1984. We compare this series with our previous report concerning 56 similar ulcers admitted between January 1, 1978 and June 30, 1983 (Arch Ophthalmol 1984; 102:891-894). The number of corneal ulcers associated with the use of cosmetic extended wear lenses increased threefold in this series compared to the previous one, despite the shorter time period. Pseudomonas was the most frequent organism isolated in the present study. Most of the nine patients requiring penetrating keratoplasties due to corneal scarring had used cosmetic extended wear lenses and/or had Pseudomonas ulcers. Soft lens patients in general, and cosmetic extended wear soft lens patients in particular, are at risk for developing vision-threatening Pseudomonas ulcers.

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Accession: 004918823

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PMID: 3742781

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