Pseudomonas ulcers following patching of corneal abrasions associated with contact lens wear
Clemons, C.S.; Cohen, E.J.; Arentsen, J.J.; Donnenfeld, E.D.; Laibson, P.R.
Clao Journal Official Publication of the Contact Lens Association of Ophthalmologists Inc 13(3): 161-164
1987
ISSN/ISBN: 0733-8902 PMID: 3329585 Document Number: 296428
We report our experience with six patients.sbd.each with a history of contact lens use.sbd.who were diagnosed as having Pseudomonas corneal ulcers after having been pressure patched in treatment for apparent corneal abrasions. Four of these six patients (67%) required penetrating keratoplasty due to marked central corneal scarring following healing of their corneal ulcers. By comparison, among the 44 patients with a history of contact lens use hospitalized at Wills Eye Hospital between January 1978 and June 1986 with Pseudomonas corneal ulcers, only 11 (25%) required corneal transplantation. It is important to be aware that serious ulcers associated with the use of contact lenses can present initially as sterile-appearing erosions. Pressure patching should be avoided in patients with corneal abrations and a history of contact lens use.