Infectious keratitis in orthokeratology.
Orthokeratology is a method of changing refraction in myopic patients by using rigid contact lenses to reduce the curvature of the cornea. This treatment was in use in the two cases of corneal ulcer described in this paper and appears to have contributed to the development of their disease. As with extended wear contact lenses, patients undergoing orthokeratology treatment are frequently advised to wear the orthokeratology lenses overnight increasing the risk of corneal ulceration and infection. Patients should be adequately warned of the associated risks and advised that any envisaged benefits of the procedure are temporary.
Hutchinson
Kenneth
K
Department of Ophthalmology, Royal Brisbane Hospital, Queensland, Australia. hutch@petrie.hotkey.net.au
Apel
Andrew
A
D015823:Acanthamoeba Keratitis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D000328:Adult; D000981:Antiprotozoal Agents / Q000627:therapeutic use; D001251:Astigmatism / Q000628:therapy; D001550:Benzamidines; D002701:Chloramphenicol / Q000627:therapeutic use; D003261:Contact Lenses / Q000009:adverse effects*; D003315:Cornea / Q000382:microbiology / Q000469:parasitology; D003320:Corneal Ulcer / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D006801:Humans; D007654:Ketoconazole / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000628:therapy; D015242:Ofloxacin / Q000627:therapeutic use; D011552:Pseudomonas Infections / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*
D000981:Antiprotozoal Agents; D001550:Benzamidines; D002701:Chloramphenicol; C046651:propamidine isethionate; D015242:Ofloxacin; D007654:Ketoconazole