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Case Reports in Medicine
Volume 2010, Article ID 415737, 3 pages
http://dx.doi.org/10.1155/2010/415737
Case Report

A Management Dilemma: Infectious Keratitis Associated with Soft Contact Lens Use and Dubious Treatment Compliance

Department of Ophthalmology, “Hippokration” General Hospital, 54642 Thessaloniki, Greece

Received 8 March 2010; Revised 20 June 2010; Accepted 19 July 2010

Academic Editor: Jean W. M. Muris

Copyright © 2010 Konstantinos T. Tsaousis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. To present a case of infectious keratitis caused by the microorganism Serratia marcescens in a contact lens user and further to confer on the most advantageous management of comparable situations. Case. After altering the routine that she used for contact lens disinfection, a 24-year-old patient presented with pain and conjunctival redness in both eyes. Slit-lamp examination revealed two infiltrates in the inferior part of the cornea in the right eye and five smaller infiltrates in the superior half of the left cornea. Appropriate treatment, after hospitalization, improved the symptoms while culture of the contact lens material revealed Serratia marcescens as the responsible infectious factor. Conclusion. Enhancing the availability of information with respect to contact lens users and customized analysis regarding treatment for a particular complication could be beneficial in order to reduce the frequency of admission to the eye clinic due to infectious keratitis. In addition, rapid laboratory testing of the infected materials should be a priority for selection of the optimal treatment regimen.