title: Contact lens-related corneal ulcers in compliant patients.
abstract: OBJECTIVE
  To report a case series of contact lens-related corneal ulcers in compliant patients with no apparent predisposing factors.
  
  
  METHODS
  Retrospective case series.
  
  
  METHODS
  Charts of 70 patients with contact lens-related corneal ulcers from July 1999 to June 2002 were reviewed. Lens care hygiene and method of disinfection, as well as frequency of lens replacement, were recorded. Only patients who followed recommended guidelines for contact lens wear were included in the study.
  
  
  RESULTS
  Of the 70 patients, 21 (30%) developed corneal ulcers despite being compliant with the guidelines for contact lens wear. All patients used multipurpose solutions for cleaning, disinfecting, and storing daily wear soft contact lenses.
  
  
  CONCLUSIONS
  Standard lens care hygiene does not seem to be sufficient in preventing the development of corneal ulcers in patients using conventional and frequent replacement daily wear soft contact lenses.
authors.affiliation: Cornea Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA.
authors.forename: Dany M
authors.initials: DM
authors.lastname: Najjar
authors.forename: S Gulderen
authors.initials: SG
authors.lastname: Aktan
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Rapuano
authors.forename: Peter R
authors.initials: PR
authors.lastname: Laibson
authors.forename: Elisabeth J
authors.initials: EJ
authors.lastname: Cohen
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D018639:Contact Lens Solutions; D003263:Contact Lenses, Hydrophilic / Q000009:adverse effects*; D003320:Corneal Ulcer / Q000209:etiology*; D015818:Eye Infections, Bacterial / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D012189:Retrospective Studies; D012307:Risk Factors
chemical_list: D018639:Contact Lens Solutions