scholarly journals A Management Dilemma: Infectious Keratitis Associated with Soft Contact Lens Use and Dubious Treatment Compliance

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Konstantinos T. Tsaousis ◽  
Georgios Sakkias ◽  
Nikolaos Kozeis ◽  
Periklis Tahiaos

Purpose. To present a case of infectious keratitis caused by the microorganism Serratia marcescens in a contact lens user and further to confer on the most advantageous management of comparable situations.Case. After altering the routine that she used for contact lens disinfection, a 24-year-old patient presented with pain and conjunctival redness in both eyes. Slit-lamp examination revealed two infiltrates in the inferior part of the cornea in the right eye and five smaller infiltrates in the superior half of the left cornea. Appropriate treatment, after hospitalization, improved the symptoms while culture of the contact lens material revealed Serratia marcescens as the responsible infectious factor.Conclusion. Enhancing the availability of information with respect to contact lens users and customized analysis regarding treatment for a particular complication could be beneficial in order to reduce the frequency of admission to the eye clinic due to infectious keratitis. In addition, rapid laboratory testing of the infected materials should be a priority for selection of the optimal treatment regimen.

2009 ◽  
Vol 59 (4) ◽  
pp. 560-565 ◽  
Author(s):  
PER-ARNE PARMENT ◽  
ROLF A. RÖNNERSTAM

1994 ◽  
Vol 5 (5) ◽  
pp. 397-406 ◽  
Author(s):  
Suong-Hyu Hyon ◽  
Won-Ill Cha ◽  
Yoshito Ikada ◽  
Mihori Kita ◽  
Yuichiro Ogura ◽  
...  

2021 ◽  
pp. 501-506
Author(s):  
Haile W. Alemu ◽  
Preetam Kumar

Post-surgical or traumatic corectopia is among the rare causes of monocular diplopia. A 26-years-old student presented to the Institute with a complaint of monocular double vision in the left eye. He had a penetrating ocular injury in the left eye and subsequently, undergone for multiple ocular surgeries. Following the final intraocular lens implantation, he experienced a monocular double vision in his left eye. Upon contact lens clinic presentation, visual acuities were 20/20 in the right and 20/320 in the left eye (improved to 20/25 with pinhole). Slit-lamp examination on the left eye revealed scarring in the superior nasal quadrant of the cornea, irregular mid-dilated pupil with exposed aphakic and pseudophakic portions. A range of different optical management options were implemented to eliminate monocular diplopia and to correct refractive error. Finally, a combination of prosthetic soft contact lens and spectacle correction was able to remove diplopia and provide binocular single vision.


2017 ◽  
Vol 2017 ◽  
pp. 1-13 ◽  
Author(s):  
Lele Cui ◽  
Ming Li ◽  
Meixiao Shen ◽  
Fan Lu ◽  
Jianhua Wang

Objectives. To evaluate the centration and movement of soft contact lenses and to verify the repeatability of two repeated measurements of the lens centration and movement using ultra-long scan depth optical coherence tomography (UL-OCT). Methods. A 1-day Acuvue® Define™ lens was tested on both eyes of 10 subjects (5 males and 5 females; mean age, 31.6 years). The centration and blink-induced movement of the contact lens were measured using UL-OCT at 5 min and 30 min after insertion. The measurements were repeated once at each checkpoint. Results. Good repeatability was found in the lens centration and movement between the two repeated measurements at either checkpoint. The values of the lens movement were 0.457 ± 0.248 mm and 0.402 ± 0.229 mm at 5 min and decreased to 0.197 ± 0.065 mm and 0.211 ± 0.110 mm at 30 min after insertion for the right and left eyes, respectively (P<0.05). Conclusions. The custom-built UL-OCT presented good repeatability of centration and movement in Define lenses at 5 min and 30 min after insertion. Most of the lenses were centered temporal and inferior to the cornea during the first 30 min wearing period. Compared with 5 min after insertion, the lens was centered better and exhibited less movement at 30 min.


1992 ◽  
Vol 74 (2) ◽  
pp. 567-575 ◽  
Author(s):  
H. Edward Fouty ◽  
Ronald A. Yeo ◽  
Michael W. Otto ◽  
Charles R. Briggs

A soft contact-lens system for achieving unilateral visual stimulation in a free vision format is described. Initial testing with light transmittance and visual perimetry indicated that the lenses created artificial visual-field deficits. The efficacy of the lenses as a technique for lateralizing visual input was evaluated by examining within-subject differences in performance on two visuospatial tasks. Speed and accuracy of performance were greater with visual input directed to the right hemisphere. These data support the lens design as a useful alternative to tachistoscopic procedures and previous lens systems.


2012 ◽  
Vol 69 (1) ◽  
pp. 27-32
Author(s):  
Yuji ITO ◽  
Tetsuji KAWAI ◽  
Akihiro YASUDA ◽  
Takayuki MIYAMAE

1990 ◽  
Vol 228 (6) ◽  
pp. 533-537 ◽  
Author(s):  
Mihori Kita ◽  
Yuichiro Ogura ◽  
Yoshihito Honda ◽  
Suong-Hyu Hyon ◽  
Won-II Cha ◽  
...  

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