콘택트렌즈 사용으로 발생한 감염성 각막염의 임상적 연구

• 영문명: Clinical Study of Infectious Keratitis Caused by Contact Lens Wearing
• 발행기관: 대한검안학회
• 저자명: 이동현(Dong Hyun Lee) 조성호(Seong Ho Jo) 이지은(Ji Eun Lee)
• 간행물 정보: 『Annals of optometry and contact lens』Vol.14 No.1, 22~26쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2015.03.30

영문 초록

Purpose: To investigate the factors influencing final visual outcome of contact lens related infectious keratitis according to their clinical manifestations and culture results. Methods: Twenty-five eyes of total twenty-five patients with contact lens related infectious keratitis between 2008 and 2014 were reviewed retrospectively. We evaluated clinical characteristics, ophthalmic and laboratory examination, and treatment. Also, we classified two groups as culture proven group and no growth group to identify factors affecting visual outcome. Results: The best corrected visual acuity (log MAR) was improved from 0.76 ± 0.93 before treatment to 0.26 ± 0.38 after treatment. The organism was identified in 14 eyes (56%): Staphylococcus spp. accounted for 7 eyes (50%), gram negative rods for 2 eyes (14%), Pseudomonas spp. for 2 eyes (14%), Acanthamoeba for 2 eyes (14%), and miscellaneous for 1 eye (7%). There were no significant differences in prognosis between organism identified and unidentified groups and there were significant visual improvement regardless of culture result (p = 0.038). Conclusions: If the infectious keratitis occurred in patients with wearing contact lens, broad spectrum antibiotic therapy should be helpful for better prognosis regardless of the detection of organism.

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키워드

Antibiotics Contact lens Infectious keratitis