The Number of Cases, Cause and Treatment of Avellino Corneal Dystrophy Exacerbated After LASIK.
10.3341/jkos.2008.49.9.1415
- Author:
Jeong Ho YI
1
;
Byoung Jin HA
;
Sang Woo KIM
;
Tae im KIM
;
Eung Kweon KIM
Author Information
1. The Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine1, Seoul, Korea. eungkkim@yuhs.ac
- Publication Type:Original Article
- Keywords:
Avellino corneal dystrophy;
Deep lamellar keratoplasty;
Laser in situ keratomileusis
- MeSH:
Aspergillus;
Contact Lenses;
Corneal Dystrophies, Hereditary;
Corneal Ulcer;
Eye;
Fluconazole;
Humans;
Itraconazole;
Keratitis;
Keratomileusis, Laser In Situ;
Natamycin
- From:Journal of the Korean Ophthalmological Society
2008;49(9):1415-1424
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To present a case report of fungal keratitis related to prolonged overnight use of orthokeratology contact lenses. METHODS: A 13 year-old girl presented with a corneal ulcer in her left eye refractory to antibacterial medication. She had a history of wearing orthokeratology contact lenses overnight for seven months. RESULTS: The organism Aspergillus was isolated by corneal scraping, the contact lens itself, and from the storage case. The patient was treated with topical fluconazole and Natamycin pimaricin in addition to oral itraconazole, resulting in a resolution of the ocular lesion. CONCLUSIONS: The risk of fungal infection as a potential complication of the use of overnight orthkeratology contact lenses should be considered when using these lenses.
