title: Adverse corneal events associated with corneal reshaping: a case series.
abstract: OBJECTIVE
  This case series presents the first documented cases of infectious ulcers associated with overnight orthokeratology in North America and other less serious complications associated with overnight corneal reshaping.
  
  
  METHODS
  Five cases of adverse corneal events associated with corneal refractive therapy are described: two cases of microbial keratitis, one case of infiltrates, one case of toxic keratitis, and one corneal abrasion.
  
  
  CONCLUSIONS
  Corneal compromise and poor compliance can cause adverse events with corneal reshaping. The need for ongoing patient education is important not only for pediatric contact lens patients, but also for adults.
authors.affiliation: New England College of Optometry, Boston, MA, USA.
authors.forename: Jacob
authors.initials: J
authors.lastname: Lang
authors.forename: Marjorie J
authors.initials: MJ
authors.lastname: Rah
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D003261:Contact Lenses / Q000009:adverse effects*; D003320:Corneal Ulcer / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D015818:Eye Infections, Bacterial / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D005260:Female; D005549:Foreign-Body Reaction / Q000209:etiology*; D006801:Humans; D008297:Male; D009216:Myopia / Q000628:therapy*; D015242:Ofloxacin / Q000627:therapeutic use; D016868:Serratia Infections / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D012706:Serratia marcescens / Q000302:isolation & purification
chemical_list: D000900:Anti-Bacterial Agents; D015242:Ofloxacin