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Corneal ulcers associated with contact lens wear

Corneal ulcers associated with contact lens wear

Archives of Ophthalmology 102(6): 891-894

The experience with ulcerative keratitis associated with contact lens wear at Wills Eye Hospital, Philadelphia, [Pennsylvania, USA] from Jan. 1, 1978 through July 1, 1983 was studied. Of the 322 cases of ulcerative keratitis, 56 cases (17%) were associated with the use of contact lenses. Of the 56 cases of contact lens-associated ulcers, 29 (52%) were culture positive. Pseudomonas was the most common isolate, occurring in 13 (23%) of the 56 cases. Staphylococcus were the 2nd most common, occurring in 11 (20%) of the 56 cases. In this series, contact lens-associated ulcers were seen frequently in those wearing soft lenses (48/56 cases or 86%) and in those wearing aphakic lenses (32/56 cases or 57%). Contact lens use is an increasingly important risk factor for the development of corneal ulcers. Prompt, appropriate and intensive treatment is necessary to prevent visual loss.

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Accession: 005056704

Download citation: RISBibTeXText

PMID: 6587848

DOI: 10.1001/archopht.1984.01040030711025

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