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. 2015:2015:152767.
doi: 10.1155/2015/152767. Epub 2015 Dec 3.

Clinical Presentation and Antibiotic Susceptibility of Contact Lens Associated Microbial Keratitis

Hesam Hedayati  1 , Mahboubeh Ghaderpanah  1 , Seyed Ahmad Rasoulinejad  2 , Mohammad Montazeri  3
Affiliations

Clinical Presentation and Antibiotic Susceptibility of Contact Lens Associated Microbial Keratitis

Hesam Hedayati et al. J Pathog. 2015.

Abstract

Introduction. In recent years, the number of contact lens wearers has dramatically increased in Iran, particularly in youngsters. The purpose of current study was to assess the clinical presentation and antibiotic susceptibility of contact lens related microbial keratitis in Ahvaz, southwest of Iran. Methodology. A cross-sectional investigation of 26 patients (33 eyes) with contact lens induced corneal ulcers who were admitted to Imam Khomeini Hospital, Ahwaz City, from June 2012 to June 2013 was done. In order to study microbial culture and susceptibility of corneal ulcers, all of them were scraped. Results. Eight samples were reported as sterile. Pseudomonas aeruginosa (80%) in positive cultures was the most widely recognized causative organism isolated. This is followed by Staphylococcus aureus 12% and Enterobacter 8%. The results showed that 84% of the microorganism cases were sensitive to ciprofloxacin, while imipenem, meropenem, and ceftazidime were the second most effective antibiotics (76%). Conclusion. Results of current study show the importance of referring all contact lens wearers with suspected corneal infection to ophthalmologists for more cure. The corneal scraping culture and contact lens solution should be performed to guide antibiotic therapy.

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Figures

Figure 1
Figure 1
The frequency of symptoms and signs in patients with microbial keratitis.
Figure 2
Figure 2
Location of the principal corneal infiltrate (6.1% of the infiltrates were diffuse).
See this image and copyright information in PMC

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