International Journal of Keratoconus and Ectatic Corneal Diseases

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VOLUME 3 , ISSUE 2 ( May-August, 2014 ) > List of Articles

RESEARCH ARTICLE

Corneal Thinning after Contact Lens-related Infective Keratitis

José Salgado-Borges, Renata Siqueira, Raquel Almeida, Filipa Rodrigues, Matheus Santos, Patrícia Contarini

Citation Information : Salgado-Borges J, Siqueira R, Almeida R, Rodrigues F, Santos M, Contarini P. Corneal Thinning after Contact Lens-related Infective Keratitis. Int J Kerat Ect Cor Dis 2014; 3 (2):95-98.

DOI: 10.5005/jp-journals-10025-1086

Published Online: 00-08-2014

Copyright Statement:  Copyright © 2014; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Purpose

To describe two cases of contact lens-related infectious keratitis with secondary corneal thinning.

Material and methods

Case reports and review of the literature.

Results

The first case is of a 13-year-old girl, contact lens user, admitted for acute corneal infection in her right eye (OD). Seven years after treatment, she presented with corneal thinning and flattening with uncorrected distance visual acuity of 20/30 OD; thinnest value was 363 µm in OD and 513 µm in the left eye (OS). The second case is a 22-year-old male, cosmetic contact lens user, first presented with severe keratitis in OD. One year after treatment, the eye was quiet with moderate corneal opacity; corneal thickness was 228 µm OD and 561 µm OS. Ectasia was identified due to the protrusion and steepening with an irregular curvature pattern. Rigid gas permeable (RGP) contact lens fitting enabled visual acuity of 20/25 OD.

Conclusion

Corneal melt with secondary stromal loss and thinning may lead or not to secondary ectasia. Visual rehabilitation is possible with RGP contact lenses despite corneal opacity. The risk of infectious keratitis among contact lenses users should be considered.

How to cite this article

Almeida R, Rodrigues F, Santos M, Siqueira R, Contarini P, Salgado-Borges J, Ambrosio R Jr. Corneal Thinning after Contact Lens-related Infective Keratitis. Int J Kerat Ect Cor Dis 2014;3(2):95-98.


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