Clinical Presentation and Antibiotic Susceptibility of Contact Lens Associated Microbial Keratitis

Hedayati, Hesam; Ghaderpanah, Mahboubeh; Rasoulinejad, Seyed Ahmad; Montazeri, Mohammad

Clinical Presentation and Antibiotic Susceptibility of Contact Lens Associated Microbial Keratitis

2015

Hedayati, Hesam(Department of Ophthalmology, Ahvaz Jundishapur University of Medical Sciences) | Ghaderpanah, Mahboubeh(Department of Ophthalmology, Ahvaz Jundishapur University of Medical Sciences) | Rasoulinejad, Seyed Ahmad(Department of Ophthalmology, Babol University of Medical Sciences) | Montazeri, Mohammad(Young Researchers Club, Islamic Azad University)

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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