twitter
en POLSKI
eISSN: 2719-3209
ISSN: 0023-2157
Klinika Oczna / Acta Ophthalmologica Polonica
Current issue Archive Videos Articles in press About the journal Supplements Editorial board Reviewers Abstracting and indexing Subscription Contact Instructions for authors Ethical standards and procedures
Editorial System
Submit your Manuscript
SCImago Journal & Country Rank
1/2022
vol. 124
 
Share:
Share:
abstract:
Case report

Endophthalmitis as a complication of protozoan-fungal keratitis in a contact lens wearer: a case report

Monika Sarnat-Kucharczyk
1
,
Erita Filipek
2
,
Bogumila Wojcik-Niklewska
2
,
Dorota Barchanowska
2
,
Ewa Mrukwa-Kominek
1

1.
Department of Ophthalmology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland
2.
Department of Pediatric Ophthalmology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland
KLINIKA OCZNA 2022, 124, 1: 40–45
Online publish date: 2022/03/25
View full text Get citation
 
PlumX metrics:
Introduction: Contact lens wearers who do not follow proper eye hygiene are at risk of sight-threatening protozoan keratitis, which can be complicated by fungal keratitis. If timely and proper treatment is instituted, the progression of infection can be stopped and serious ocular complications can thus be prevented. Acanthamoeba keratitis is often associated with contact lens wear. However, to our best knowledge, its coexistence with Fusarium has not been reported in a pediatric contact lens wearer.

Case presentation: The aim of the paper is to present a case report of severe protozoan-fungal keratitis in a contact lens wearer. Despite delayed but intensive antiprotozoan, antifungal treatment and corneal transplantation, corneal ulceration resulted in endophthalmitis. The subsequent intervention, i.e., a combination of vitrectomy and corneal transplantation, failed to prevent the spread of infection. As the condition was considered to be life-threatening, a decision was made to perform evisceration.

Conclusions: Improper eye hygiene by contact lens wearers promotes the development of corneal infections. Late diagnosis and proper but delayed treatment caused spread of the infection and severe ocular complications.
keywords:

keratitis, contact lens, keratoplasty, endophthalmitis, case report

Quick links
© 2024 Termedia Sp. z o.o.
Developed by Bentus.