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January 1986

Contact Lens-Associated Microbial Keratitis

Author Affiliations

From the Department of Ophthalmology, University of Southern California, and the Estelle Doheny Eye Foundation, Los Angeles.

Arch Ophthalmol. 1986;104(1):79-83. doi:10.1001/archopht.1986.01050130089027

• During a 14-year period, 42 cases of microbial keratitis were associated with contact lens (CL) wear. Pseudomonas aeruginosa was isolated in 40% of the cases and Staphylococcus in 31%; Streptococcus pneumoniae, α-hemolytic Streptococcus, and Serratia marcescens were the next most commonly isolated pathogens. There was a single fungal corneal ulcer. Bandage CL use was associated with a high prevalence of infection with quasi-commensal organisms and with polymicrobial keratitis, a pattern of disease quite distinct from that induced by other types of CLs. Marked visual loss frequently occurred. There was a disturbing increase in the number of infections associated with extended-wear CLs (worn for either aphakia or myopia) over the last 18 months of the study.