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  • Title: Severe Pseudomonas aeruginosa keratitis shortly after initiation of corneal refractive therapy.
    Author: Priel A, Grinbaum A, Barequet IS.
    Journal: Eye Contact Lens; 2006 Jan; 32(1):1-2. PubMed ID: 16415684.
    Abstract:
    PURPOSE: To report the development of severe ulcerative keratitis in an adolescent, shortly after initiating corneal refractive therapy. METHODS: A teenager developed severe ulcerative keratitis shortly after being fitted with reverse-geometry contact lenses. The contact lenses were worn daily and only one night before the occurrence of severe ulcerative keratitis. Pseudomonas aeruginosa was identified as the causative organism. RESULTS: The patient was treated with intensive, fortified antibiotics with gradual resolution of the corneal ulcer, leaving a permanent central stromal scar. CONCLUSIONS: Corneal refractive therapy contact lenses can cause severe bacterial keratitis even after a short wearing time. Significant caution should be used before prescribing corneal refractive therapy lenses, and informed consent should include potential sight-threatening infectious keratitis.
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