title: Development of methicillin-resistant Staphylococcus aureus keratitis in a dry eye patient with a therapeutic contact lens.
abstract: OBJECTIVE
  The aim was to report a case of methicillin-resistant Staphylococcus aureus (MRSA) keratitis possibly associated with the use of a silicone hydrogel soft contact lens in a patient with dry eye.
  
  
  METHODS
  This is a case report.
  
  
  RESULTS
  A 61-year-old woman who wore a silicone hydrogel lens as therapy for filamentary keratitis with severe dry eye presented with pain and redness in her left eye. She developed severe keratitis with ulceration and hypopyon. The MRSA grew in the culture, and intensive systemic and topical antibiotics resolved the corneal keratitis.
  
  
  CONCLUSIONS
  The MRSA may cause infectious keratitis associated with silicone hydrogel contact lens therapy.
authors.affiliation: Department of Ophthalmology, Osaka University Graduate School of Medicine, Suita, Japan. skoh@ophthal.med.osaka-u.ac.jp
authors.forename: Shizuka
authors.initials: S
authors.lastname: Koh
authors.forename: Naoyuki
authors.initials: N
authors.lastname: Maeda
authors.forename: Takeshi
authors.initials: T
authors.lastname: Soma
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Hori
authors.forename: Motokazu
authors.initials: M
authors.lastname: Tsujikawa
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Watanabe
authors.forename: Kohji
authors.initials: K
authors.lastname: Nishida
mesh_terms: D003262:Contact Lenses, Extended-Wear / Q000009:adverse effects*; D015352:Dry Eye Syndromes / Q000150:complications*; D015818:Eye Infections, Bacterial / Q000382:microbiology*; D005260:Female; D006801:Humans; D007634:Keratitis / Q000382:microbiology*; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification*; D008875:Middle Aged; D013203:Staphylococcal Infections / Q000209:etiology*