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Serratia Marcescens corneal ulcer as a complication of orthokeratology.

Abstract：

PURPOSE:To report a case of Serratia Marcescens corneal ulcer as a complication of orthokeratology treatment. METHODS:Case report. RESULTS:A 9-year-old male who underwent orthokeratology treatment for 6 months suffered from a corneal ulcer. The refractive state of lesion eye was -5.5D/-1.25D x 180 degrees, and visual acuity was hand motion at 30 cm. He wore a retainer lens, rigid gas permeable lens, overnight for 2 months before the corneal ulcer occurred. Ulcer became worse after tobramycin and gentamycin treatment for 2 days. After ciprofloxacin treatment, the ulcer healed and visual acuity recovered to 20/20 with spectacle correction. Cultures of the cornea tissue and contact lens storage solution both grew Serratia Marcescens, which was sensitive to ciprofloxacin. CONCLUSION:Overnight wearing of a rigid contact lens is a risk factor for a corneal ulcer.

journal_name

Am J Ophthalmol

journal_title

American journal of ophthalmology

authors

Chen KH,Kuang TM,Hsu WM

doi

10.1016/s0002-9394(01)00931-x

subject

Has Abstract

pub_date

2001-08-01 00:00:00

pages

257-8

issue

2

eissn

0002-9394

issn

1879-1891

pii

S000293940100931X

journal_volume

132

pub_type

杂志文章

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