A Case of Fungal Keratitis as a Complication of Orthokeratology Contact Lens.

Lee, Ja Kyun; Lee, Ji Eun; Lee, Jong Soo

doi:2007.48.10.1415

J Korean Ophthalmol Soc > Volume 48(10); 2007 > Article

Case Report

Journal of the Korean Ophthalmological Society 2007;48(10):1415-1418.
DOI: https://doi.org/10.3341/jkos.2007.48.10.1415 Published online October 31, 2007.

A Case of Fungal Keratitis as a Complication of Orthokeratology Contact Lens.

Ja Kyun Lee, Ji Eun Lee, Jong Soo Lee

The Department of Ophthalmology, College of Medicine, Pusan National University1, Pusan, Korea. Jiel75@hanmail.net

각막굴절교정학 콘택트렌즈와 연관된 진균 각막염 1예

이자균,이지은,이종수

The Department of Ophthalmology, College of Medicine, Pusan National University¹, Pusan, Korea

Correspondence: Ji Eun Lee, M.D.

Abstract

PURPOSE
To present a case report of fungal keratitis related to prolonged overnight use of orthokeratology contact lenses. METHODS: A 13 year-old girl presented with a corneal ulcer in her left eye refractory to antibacterial medication. She had a history of wearing orthokeratology contact lenses overnight for seven months. RESULTS: The organism Aspergillus was isolated by corneal scraping, the contact lens itself, and from the storage case. The patient was treated with topical fluconazole and Natamycin pimaricin in addition to oral itraconazole, resulting in a resolution of the ocular lesion. CONCLUSIONS: The risk of fungal infection as a potential complication of the use of overnight orthkeratology contact lenses should be considered when using these lenses.

Key Words: Aspergillus;Fungal keratitis;Natamycin;Orthokeratology