Infectious keratitis related to orthokeratology
Purpose: To report 28 cases of infectious keratitis related to orthokeratology lens overnight wear in China. Methods: From March 2000 to August 2001, 28 cases of infectious keratitis related to overnight orthokeratology lens wear were diagnosed in Beijing Institute of Ophthalmology. These were ret...
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| Veröffentlicht in: | Ophthalmic & physiological optics 2006-03, Vol.26 (2), p.133-136 |
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| creator | Sun, Xuguang Zhao, Huiying Deng, Shijing Zhang, Yan Wang, Zhiqun Li, Ran Luo, Shiyun Jin, Xiuying |
| description | Purpose: To report 28 cases of infectious keratitis related to orthokeratology lens overnight wear in China.
Methods: From March 2000 to August 2001, 28 cases of infectious keratitis related to overnight orthokeratology lens wear were diagnosed in Beijing Institute of Ophthalmology. These were retrospectively reviewed with regard to the pathogens isolated, duration of wear, the time since onset of symptoms, and age. Cultures of corneal scrapes for bacteria, fungus and Acanthamoeba were performed in all of the 28 cases.
Results: All cases were students, including 10 males and 18 females, average age was 16 years (range 10–21 years). The duration of orthokeratology overnight wearing was from 2 weeks to 2 years. Uncorrected visual acuity (UCVA) on initial examination in our institute was from 20/200 to light perception. Of 28 isolates, 24 were culture positive (including 11 bacteria, 11 Acanthamoeba and two fungi), and four were culture negative. In two of the four culture negative cases, Acanthamoeba cysts were detected in the corneal stroma with the confocal microscope. Acanthamoeba and Pseudomonas aeruginosa accounted for 75% (21 of 28) of the cases of infectious keratitis.
Conclusion: Infectious keratitis is a severe complication associated with overnight orthokeratology lens wear. Ophthalmologists should pay more attention to this complication in practice. |
| doi_str_mv | 10.1111/j.1475-1313.2006.00381.x |
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Methods: From March 2000 to August 2001, 28 cases of infectious keratitis related to overnight orthokeratology lens wear were diagnosed in Beijing Institute of Ophthalmology. These were retrospectively reviewed with regard to the pathogens isolated, duration of wear, the time since onset of symptoms, and age. Cultures of corneal scrapes for bacteria, fungus and Acanthamoeba were performed in all of the 28 cases.
Results: All cases were students, including 10 males and 18 females, average age was 16 years (range 10–21 years). The duration of orthokeratology overnight wearing was from 2 weeks to 2 years. Uncorrected visual acuity (UCVA) on initial examination in our institute was from 20/200 to light perception. Of 28 isolates, 24 were culture positive (including 11 bacteria, 11 Acanthamoeba and two fungi), and four were culture negative. In two of the four culture negative cases, Acanthamoeba cysts were detected in the corneal stroma with the confocal microscope. Acanthamoeba and Pseudomonas aeruginosa accounted for 75% (21 of 28) of the cases of infectious keratitis.
Conclusion: Infectious keratitis is a severe complication associated with overnight orthokeratology lens wear. Ophthalmologists should pay more attention to this complication in practice.</description><identifier>ISSN: 0275-5408</identifier><identifier>EISSN: 1475-1313</identifier><identifier>DOI: 10.1111/j.1475-1313.2006.00381.x</identifier><identifier>PMID: 16460313</identifier><identifier>CODEN: OPOPD5</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Acanthamoeba ; Acanthamoeba Keratitis - etiology ; Adolescent ; Adult ; Biological and medical sciences ; Child ; complication ; Contact Lenses - adverse effects ; Cornea - microbiology ; Corneal Ulcer - microbiology ; Corneal Ulcer - physiopathology ; Diseases of cornea, anterior segment and sclera ; Eye and associated structures. Visual pathways and centers. Vision ; Eye Infections, Bacterial - etiology ; Female ; Fundamental and applied biological sciences. Psychology ; Humans ; infection ; keratitis ; Male ; Medical sciences ; Myopia - therapy ; Ophthalmology ; orthokeratology ; Pseudomonas aeruginosa ; Pseudomonas Infections - etiology ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Retrospective Studies ; Vertebrates: nervous system and sense organs ; Visual Acuity</subject><ispartof>Ophthalmic & physiological optics, 2006-03, Vol.26 (2), p.133-136</ispartof><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4651-37c6cf316db53bc32f7daa3b778d4e61cbfb4e19b2b78e544ba234e5017176633</citedby><cites>FETCH-LOGICAL-c4651-37c6cf316db53bc32f7daa3b778d4e61cbfb4e19b2b78e544ba234e5017176633</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1475-1313.2006.00381.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1475-1313.2006.00381.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17532521$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16460313$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sun, Xuguang</creatorcontrib><creatorcontrib>Zhao, Huiying</creatorcontrib><creatorcontrib>Deng, Shijing</creatorcontrib><creatorcontrib>Zhang, Yan</creatorcontrib><creatorcontrib>Wang, Zhiqun</creatorcontrib><creatorcontrib>Li, Ran</creatorcontrib><creatorcontrib>Luo, Shiyun</creatorcontrib><creatorcontrib>Jin, Xiuying</creatorcontrib><title>Infectious keratitis related to orthokeratology</title><title>Ophthalmic & physiological optics</title><addtitle>Ophthalmic Physiol Opt</addtitle><description>Purpose: To report 28 cases of infectious keratitis related to orthokeratology lens overnight wear in China.
Methods: From March 2000 to August 2001, 28 cases of infectious keratitis related to overnight orthokeratology lens wear were diagnosed in Beijing Institute of Ophthalmology. These were retrospectively reviewed with regard to the pathogens isolated, duration of wear, the time since onset of symptoms, and age. Cultures of corneal scrapes for bacteria, fungus and Acanthamoeba were performed in all of the 28 cases.
Results: All cases were students, including 10 males and 18 females, average age was 16 years (range 10–21 years). The duration of orthokeratology overnight wearing was from 2 weeks to 2 years. Uncorrected visual acuity (UCVA) on initial examination in our institute was from 20/200 to light perception. Of 28 isolates, 24 were culture positive (including 11 bacteria, 11 Acanthamoeba and two fungi), and four were culture negative. In two of the four culture negative cases, Acanthamoeba cysts were detected in the corneal stroma with the confocal microscope. Acanthamoeba and Pseudomonas aeruginosa accounted for 75% (21 of 28) of the cases of infectious keratitis.
Conclusion: Infectious keratitis is a severe complication associated with overnight orthokeratology lens wear. Ophthalmologists should pay more attention to this complication in practice.</description><subject>Acanthamoeba</subject><subject>Acanthamoeba Keratitis - etiology</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>complication</subject><subject>Contact Lenses - adverse effects</subject><subject>Cornea - microbiology</subject><subject>Corneal Ulcer - microbiology</subject><subject>Corneal Ulcer - physiopathology</subject><subject>Diseases of cornea, anterior segment and sclera</subject><subject>Eye and associated structures. Visual pathways and centers. Vision</subject><subject>Eye Infections, Bacterial - etiology</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>infection</subject><subject>keratitis</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Myopia - therapy</subject><subject>Ophthalmology</subject><subject>orthokeratology</subject><subject>Pseudomonas aeruginosa</subject><subject>Pseudomonas Infections - etiology</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Retrospective Studies</subject><subject>Vertebrates: nervous system and sense organs</subject><subject>Visual Acuity</subject><issn>0275-5408</issn><issn>1475-1313</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE9PwjAYhxujEUS_gtlFbxv9t3YkXgwKEoh40OitabtOB4NhOyJ8eztG4Ki99E3e59f37QNAgGCE_OnOIkR5HCKCSIQhZBGEJEHR5gS0D41T0IbY1zGFSQtcODeDEHLOk3PQQowy6Jk26I6WmdFVXq5dMDdWVnmVu8CaQlYmDaoyKG31Ve46ZVF-bi_BWSYLZ672dwe8DR5f-0_hZDoc9e8noaYsRiHhmumMIJaqmChNcMZTKYny41NqGNIqU9SgnsKKJyamVElMqIkh4ogzRkgH3Dbvrmz5vTauEovcaVMUcmn8roJxRmgvoX-CGCbMfxt7MGlAbUvnrMnEyuYLabcCQVFbFTNRyxO1PFFbFTurYuOj1_sZa7Uw6TG41-iBmz0gnZZFZuVS5-7I8ZjgGCPP3TXcT16Y7b8XENOXqS98PGziuavM5hCXdu59EJ98fx6KMRx89IdjKB7IL3RxoJQ</recordid><startdate>200603</startdate><enddate>200603</enddate><creator>Sun, Xuguang</creator><creator>Zhao, Huiying</creator><creator>Deng, Shijing</creator><creator>Zhang, Yan</creator><creator>Wang, Zhiqun</creator><creator>Li, Ran</creator><creator>Luo, Shiyun</creator><creator>Jin, Xiuying</creator><general>Blackwell Science Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>C1K</scope><scope>M7N</scope><scope>7X8</scope></search><sort><creationdate>200603</creationdate><title>Infectious keratitis related to orthokeratology</title><author>Sun, Xuguang ; Zhao, Huiying ; Deng, Shijing ; Zhang, Yan ; Wang, Zhiqun ; Li, Ran ; Luo, Shiyun ; Jin, Xiuying</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4651-37c6cf316db53bc32f7daa3b778d4e61cbfb4e19b2b78e544ba234e5017176633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Acanthamoeba</topic><topic>Acanthamoeba Keratitis - etiology</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>complication</topic><topic>Contact Lenses - adverse effects</topic><topic>Cornea - microbiology</topic><topic>Corneal Ulcer - microbiology</topic><topic>Corneal Ulcer - physiopathology</topic><topic>Diseases of cornea, anterior segment and sclera</topic><topic>Eye and associated structures. Visual pathways and centers. Vision</topic><topic>Eye Infections, Bacterial - etiology</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Humans</topic><topic>infection</topic><topic>keratitis</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Myopia - therapy</topic><topic>Ophthalmology</topic><topic>orthokeratology</topic><topic>Pseudomonas aeruginosa</topic><topic>Pseudomonas Infections - etiology</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Retrospective Studies</topic><topic>Vertebrates: nervous system and sense organs</topic><topic>Visual Acuity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sun, Xuguang</creatorcontrib><creatorcontrib>Zhao, Huiying</creatorcontrib><creatorcontrib>Deng, Shijing</creatorcontrib><creatorcontrib>Zhang, Yan</creatorcontrib><creatorcontrib>Wang, Zhiqun</creatorcontrib><creatorcontrib>Li, Ran</creatorcontrib><creatorcontrib>Luo, Shiyun</creatorcontrib><creatorcontrib>Jin, Xiuying</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><jtitle>Ophthalmic & physiological optics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sun, Xuguang</au><au>Zhao, Huiying</au><au>Deng, Shijing</au><au>Zhang, Yan</au><au>Wang, Zhiqun</au><au>Li, Ran</au><au>Luo, Shiyun</au><au>Jin, Xiuying</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Infectious keratitis related to orthokeratology</atitle><jtitle>Ophthalmic & physiological optics</jtitle><addtitle>Ophthalmic Physiol Opt</addtitle><date>2006-03</date><risdate>2006</risdate><volume>26</volume><issue>2</issue><spage>133</spage><epage>136</epage><pages>133-136</pages><issn>0275-5408</issn><eissn>1475-1313</eissn><coden>OPOPD5</coden><abstract>Purpose: To report 28 cases of infectious keratitis related to orthokeratology lens overnight wear in China.
Methods: From March 2000 to August 2001, 28 cases of infectious keratitis related to overnight orthokeratology lens wear were diagnosed in Beijing Institute of Ophthalmology. These were retrospectively reviewed with regard to the pathogens isolated, duration of wear, the time since onset of symptoms, and age. Cultures of corneal scrapes for bacteria, fungus and Acanthamoeba were performed in all of the 28 cases.
Results: All cases were students, including 10 males and 18 females, average age was 16 years (range 10–21 years). The duration of orthokeratology overnight wearing was from 2 weeks to 2 years. Uncorrected visual acuity (UCVA) on initial examination in our institute was from 20/200 to light perception. Of 28 isolates, 24 were culture positive (including 11 bacteria, 11 Acanthamoeba and two fungi), and four were culture negative. In two of the four culture negative cases, Acanthamoeba cysts were detected in the corneal stroma with the confocal microscope. Acanthamoeba and Pseudomonas aeruginosa accounted for 75% (21 of 28) of the cases of infectious keratitis.
Conclusion: Infectious keratitis is a severe complication associated with overnight orthokeratology lens wear. Ophthalmologists should pay more attention to this complication in practice.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>16460313</pmid><doi>10.1111/j.1475-1313.2006.00381.x</doi><tpages>4</tpages></addata></record> |
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| subjects | Acanthamoeba Acanthamoeba Keratitis - etiology Adolescent Adult Biological and medical sciences Child complication Contact Lenses - adverse effects Cornea - microbiology Corneal Ulcer - microbiology Corneal Ulcer - physiopathology Diseases of cornea, anterior segment and sclera Eye and associated structures. Visual pathways and centers. Vision Eye Infections, Bacterial - etiology Female Fundamental and applied biological sciences. Psychology Humans infection keratitis Male Medical sciences Myopia - therapy Ophthalmology orthokeratology Pseudomonas aeruginosa Pseudomonas Infections - etiology Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Retrospective Studies Vertebrates: nervous system and sense organs Visual Acuity |
| title | Infectious keratitis related to orthokeratology |
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