title: Infectious keratitis in keratoconus with corneal hydrops without contact lens wear: a case report.
abstract: OBJECTIVE
  Infectious keratitis after contact lens use is a known complication in cases of corneal hydrops. A case of infectious keratitis is reported in a case of keratoconus with corneal hydrops without any known predisposing factors.
  
  
  METHODS
  Infectious keratitis was diagnosed in a 58-year-old man with spontaneous onset of pain, redness, photophobia, and decreased vision. There was no history of contact lens use or any ocular allergy. Noncoagulase staphylococci were cultured from the corneal scrapings, and treatment was started with fortified antibiotics.
  
  
  RESULTS
  Response to treatment was noted, and the patient is awaiting keratoplasty.
  
  
  CONCLUSIONS
  This case report highlights the occurrence of infectious keratitis in a case of keratoconus with corneal hydrops without any antecedent history of contact lens use.
authors.affiliation: Rajendra Prasad Center for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Vishal
authors.initials: V
authors.lastname: Jhanji
authors.forename: Namrata
authors.initials: N
authors.lastname: Sharma
authors.forename: Tushar
authors.initials: T
authors.lastname: Agarwal
authors.forename: Jeewan S
authors.initials: JS
authors.lastname: Titiyal
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003261:Contact Lenses; D015715:Corneal Edema / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D003320:Corneal Ulcer / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D004359:Drug Therapy, Combination; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D007640:Keratoconus / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D008297:Male; D008875:Middle Aged; D011112:Polymyxin B / Q000627:therapeutic use; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D013210:Staphylococcus / Q000302:isolation & purification; D014640:Vancomycin / Q000627:therapeutic use
chemical_list: D000900:Anti-Bacterial Agents; D014640:Vancomycin; D011112:Polymyxin B