Fungal Keratitis Associated With Non-therapeutic Soft Contact Lenses

To report an increase in culture-positive contact lens–associated fungal keratitis. Retrospective, cross-sectional laboratory study. Microbiology records of culture-positive fungal keratitis cases from January 2004 to December 2005 were reviewed. Recovery of fungal pathogens among wearers of contact...

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Bibliographic Details
Published in:American journal of ophthalmology 2006-07, Vol.142 (1), p.154-155
Main Authors: Alfonso, Eduardo C., Miller, Darlene, Cantu-Dibildox, Jorge, O’Brien, Terrence P., Schein, Oliver D.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Contact lenses
Contact Lenses, Hydrophilic - adverse effects
Corneal Ulcer - etiology
Corneal Ulcer - microbiology
Crop diseases
Cross-Sectional Studies
Diseases of cornea, anterior segment and sclera
Eye Infections, Fungal - etiology
Eye Infections, Fungal - microbiology
Fungi
Fusarium - isolation & purification
Humans
Medical sciences
Miscellaneous
Mycoses - etiology
Mycoses - microbiology
Ophthalmology
Retrospective Studies
Testing laboratories
Ulcers
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Summary:To report an increase in culture-positive contact lens–associated fungal keratitis. Retrospective, cross-sectional laboratory study. Microbiology records of culture-positive fungal keratitis cases from January 2004 to December 2005 were reviewed. Recovery of fungal pathogens among wearers of contact lenses increased from 26.7% (eight of 30) to 50% (18 of 36) of isolates in 2005. Fusarium species (66 of 122, 54.1%) were the most frequent fungal pathogens. Soft contact lens wear among the Fusarium cases more than doubled (seven of 30, 23.3%, vs 17 of 36, 47.7%, P = .046) from 2004 to 2005. Contact lens wear may be a risk factor in fungal keratitis.
ISSN:0002-9394
1879-1891
DOI:10.1016/j.ajo.2006.04.025