+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Trends in contact lens-related corneal ulcers

Trends in contact lens-related corneal ulcers

Cornea 20(3): 290-294

To identify changes in number of contact lens-related corneal ulcers per year and the type of contact lenses involved. Charts of 299 patients with corneal ulcers seen at the Cornea Service of Wills Eye Hospital from January 1, 1996, to June 30, 1999, were retrospectively reviewed. A corneal ulcer was defined as an infiltrate that was treated at least hourly with topical fortified antibiotics or fluoroquinolones. Of these 299 cases, 37 (12.4%) were related to contact lens use. Contact lens-related ulcers accounted for 10.7% of all corneal ulcers in 1996, 15.3% in 1997, 8.6% in 1998, and 18.2% in the first 6 months of 1999. The contact lenses most commonly associated with ulcers were conventional soft daily-wear contact lenses (33%). There were similar numbers of ulcers associated with extended wear (n = 16) and daily wear (n = 17) of soft contact lenses. In addition, the number of cases associated with conventional (n = 17) and disposable/frequent replacement (n = 16) lenses were similar. Corneal cultures were performed in 15 (40.5%) cases and were positive in 8. There has been a significant decrease in the number of contact lens-related ulcers treated at our institution compared with previous years (1988-1999, p < 0.01). The number of contact lens-related corneal ulcers in the past 4 years was significantly fewer than previous years at our institution. A similar number of ulcers were associated with conventional and disposable/frequent replacement lenses despite the commercial preponderance of the latter type of lenses.

(PDF emailed within 0-6 h: $19.90)

Accession: 047840435

Download citation: RISBibTeXText

PMID: 11322418

DOI: 10.1097/00003226-200104000-00010

Related references

Trends in Contact Lens???Related Corneal Ulcers. Cornea 24(1): 51-58, 2005

Trends in contact lens-related corneal ulcers. IOVS 41(4): S76, March 15, 2000

Trends in contact lens-related corneal ulcers at a tertiary referral center. Cornea 31(10): 1097-1102, 2012

Trends in contact lens-associated corneal ulcers. Cornea 15(6): 566-570, 1996

Changing trends in contact lens associated corneal ulcers: an overview of 116 cases. Clao Journal 12(3): 145-149, 1986

Corneal ulcers related to contact lens use. International Ophthalmology Clinics 26(1): 3-14, 1986

Contact lens related corneal ulcers. North Carolina Medical Journal 51(6): 269-271, 1990

Contact lens-related corneal ulcers in compliant patients. American Journal of Ophthalmology 137(1): 170-172, 2004

Contact lens-related keratitis and purulent corneal ulcers. Vestnik Oftalmologii 134(4): 17-24, 2018

Contact lens related corneal ulcers: clinical, microbiological and therapeutic features. Journal Francais d'Ophtalmologie 36(7): 594-599, 2014

Contact lens related corneal infiltrates and ulcers a retrospective study of 134 eyes. Spektrum der Augenheilkunde 22(5): 297-300, 2008

Contact lens related corneal ulcers at the Ohio State University Hospitals 1983-1987. Clao Journal 15(4): 268-270, 1989

Contact lens-related corneal ulcers requiring hospitalization: a 7-year retrospective study in Belgium. Acta Ophthalmologica Scandinavica 84(4): 522-526, 2006

Culture and sensitivity patterns of contact lens-related corneal ulcers with correlation of gram stain results. Investigative Ophthalmology & Visual Science 35(4): 1779, 1994

Association between cultures of contact lens and corneal scraping in contact lens-related microbial keratitis. Archives of Ophthalmology 125(9): 1182-1185, 2007