Contact Lens-Associated Microbial Keratitis in a Tertiary Eye Care Center in Turkey

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dc.contributor.authorKaraca, Irmak
dc.contributor.authorSelver, Ozlem Barut
dc.contributor.authorPalamar, Melis
dc.contributor.authorEgrilmez, Sait
dc.contributor.authorAydemir, Sohret
dc.contributor.authorYagci, Ayse
dc.date.accessioned2020-12-01T12:02:10Z
dc.date.available2020-12-01T12:02:10Z
dc.date.issued2020
dc.departmentEge Üniversitesien_US
dc.description.abstractObjectives: To evaluate the risk factors, causative microorganisms, and presenting features of infection in patients with contact lens-associated microbial keratitis (CLAMK) admitted to a tertiary referral center in Turkey. Methods: A retrospective review of the medical records of 62 patients who were diagnosed as CLAMK in our clinic between 2012 and 2018 was conducted. Results: the mean age of the patients (22 men and 40 women) at the time of diagnosis was 24.5 +/- 8.3 years (range, 16-48). the mean best-corrected visual acuity (BCVA) was 0.7 +/- 0.9 log of minimal angle of resolution (logMAR) (0-3) before treatment and increased to 0.1 +/- 0.1 logMAR (0-0.4) at the end of the follow-up. All patients, except one using rigid gas-permeable CL, were frequent replacement soft CL users. Thirty-one (50%) patients declared overnight wear, and 37 (58.9%) patients declared showering or swimming in CLs regularly. Cultures of either corneal scrapings or CL materials were positive in 40 (64.5%) eyes, 12 (19.4%) of which had mixed infections. Thirteen strains of microorganisms were demonstrated, among which there were seven (53.8%) gram-negative bacteria, one (7.7%) gram-positive bacteria, four (30.7%) fungi, and Acanthamoeba (7.7%). the most common pathogen was Pseudomonas aeruginosa, followed by Serratia marcescens and Stenotrophomonas maltophilia. According to culture results, P. aeruginosa infections were associated with significantly worse BCVA. Keratitis foci were either centrally or paracentrally located in 39 (62.9%) eyes, and 16 eyes (25.8%) presented with hypopyon. Conclusion: Along with growing number of CL users, CLAMK constitutes an important problem with possibly worse visual outcomes. Thus, in addition to meticulous treatment, management of risk factors and behavioral modifications is crucial.en_US
dc.identifier.doi10.1097/ICL.0000000000000617en_US
dc.identifier.endpage115en_US
dc.identifier.issn1542-2321
dc.identifier.issn1542-233X
dc.identifier.issue2en_US
dc.identifier.pmid31045617en_US
dc.identifier.scopus2-s2.0-85081142984en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage110en_US
dc.identifier.urihttps://doi.org/10.1097/ICL.0000000000000617
dc.identifier.urihttps://hdl.handle.net/11454/62613
dc.identifier.volume46en_US
dc.identifier.wosWOS:000524247200011en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofEye & Contact Lens-Science and Clinical Practiceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectContact lensen_US
dc.subjectKeratitisen_US
dc.subjectContact lens-associated microbial keratitisen_US
dc.titleContact Lens-Associated Microbial Keratitis in a Tertiary Eye Care Center in Turkeyen_US
dc.typeArticleen_US

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