Infectious Keratitis Related to Overnight Orthokeratology

PURPOSE:To report the microbial culture results, clinical course, and visual outcomes for infectious keratitis related to overnight orthokeratology. METHODS:The records of patients with infectious keratitis related to overnight orthokeratology who presented to a tertiary referral center from April 2...

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Published in:	Cornea Vol. 24; no. 7; pp. 783 - 788
Main Authors:	Hsiao, Ching-Hsi, Lin, Hsin-Chiung, Chen, Yeong-Fong, Ma, David H. K, Yeh, Lung-Kun, Tan, Hsin-Yuan, Huang, Samuel C. M, Lin, Ken-Kuo
Format:	Journal Article
Language:	English
Published:	United States Lippincott Williams & Wilkins, Inc 01-10-2005
Subjects:	Acanthamoeba - isolation & purification Acanthamoeba Keratitis - drug therapy Acanthamoeba Keratitis - etiology Adolescent Adult Animals Anti-Bacterial Agents - therapeutic use Antiprotozoal Agents - therapeutic use Bacteria - isolation & purification Child Contact Lenses - adverse effects Cornea - microbiology Cornea - parasitology Corneal Ulcer - drug therapy Corneal Ulcer - microbiology Drug Therapy, Combination Eye Infections, Bacterial - drug therapy Eye Infections, Bacterial - etiology Female Humans Male Retrospective Studies Visual Acuity
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Abstract	PURPOSE:To report the microbial culture results, clinical course, and visual outcomes for infectious keratitis related to overnight orthokeratology. METHODS:The records of patients with infectious keratitis related to overnight orthokeratology who presented to a tertiary referral center from April 2000 to March 2003 were retrospectively reviewed. RESULTS:Twenty patients (21 eyes) were included; 1 patient had bilateral infections. The average age of the patients was 14 years. The average period between the time the patient started the overnight orthokeratology program and the onset of infectious keratitis was 23 months. Thirteen of the 21 eyes were culture positive. Organisms cultured were Pseudomonas aeruginosa (n = 9), coagulase-negative Staphylococcus species (n = 2), Serratia marcescens (n = 1), and Acathamoeba species (n = 1). All patients responded well to medical antimicrobial treatment. Final best spectacle-corrected visual acuity ranged from 20/20 to 20/100. CONCLUSIONS:Infectious keratitis is a potential complication of overnight orthokeratology that may cause significant visual impairment. Parents of children who consider overnight orthokeratology should evaluate the benefit of temporary myopia reduction and the risk of infection.
AbstractList	To report the microbial culture results, clinical course, and visual outcomes for infectious keratitis related to overnight orthokeratology. The records of patients with infectious keratitis related to overnight orthokeratology who presented to a tertiary referral center from April 2000 to March 2003 were retrospectively reviewed. Twenty patients (21 eyes) were included; 1 patient had bilateral infections. The average age of the patients was 14 years. The average period between the time the patient started the overnight orthokeratology program and the onset of infectious keratitis was 23 months. Thirteen of the 21 eyes were culture positive. Organisms cultured were Pseudomonas aeruginosa (n = 9), coagulase-negative Staphylococcus species (n = 2), Serratia marcescens (n = 1), and Acathamoeba species (n = 1). All patients responded well to medical antimicrobial treatment. Final best spectacle-corrected visual acuity ranged from 20/20 to 20/100. Infectious keratitis is a potential complication of overnight orthokeratology that may cause significant visual impairment. Parents of children who consider overnight orthokeratology should evaluate the benefit of temporary myopia reduction and the risk of infection. PURPOSETo report the microbial culture results, clinical course, and visual outcomes for infectious keratitis related to overnight orthokeratology.METHODSThe records of patients with infectious keratitis related to overnight orthokeratology who presented to a tertiary referral center from April 2000 to March 2003 were retrospectively reviewed.RESULTSTwenty patients (21 eyes) were included; 1 patient had bilateral infections. The average age of the patients was 14 years. The average period between the time the patient started the overnight orthokeratology program and the onset of infectious keratitis was 23 months. Thirteen of the 21 eyes were culture positive. Organisms cultured were Pseudomonas aeruginosa (n = 9), coagulase-negative Staphylococcus species (n = 2), Serratia marcescens (n = 1), and Acathamoeba species (n = 1). All patients responded well to medical antimicrobial treatment. Final best spectacle-corrected visual acuity ranged from 20/20 to 20/100.CONCLUSIONSInfectious keratitis is a potential complication of overnight orthokeratology that may cause significant visual impairment. Parents of children who consider overnight orthokeratology should evaluate the benefit of temporary myopia reduction and the risk of infection. PURPOSE:To report the microbial culture results, clinical course, and visual outcomes for infectious keratitis related to overnight orthokeratology. METHODS:The records of patients with infectious keratitis related to overnight orthokeratology who presented to a tertiary referral center from April 2000 to March 2003 were retrospectively reviewed. RESULTS:Twenty patients (21 eyes) were included; 1 patient had bilateral infections. The average age of the patients was 14 years. The average period between the time the patient started the overnight orthokeratology program and the onset of infectious keratitis was 23 months. Thirteen of the 21 eyes were culture positive. Organisms cultured were Pseudomonas aeruginosa (n = 9), coagulase-negative Staphylococcus species (n = 2), Serratia marcescens (n = 1), and Acathamoeba species (n = 1). All patients responded well to medical antimicrobial treatment. Final best spectacle-corrected visual acuity ranged from 20/20 to 20/100. CONCLUSIONS:Infectious keratitis is a potential complication of overnight orthokeratology that may cause significant visual impairment. Parents of children who consider overnight orthokeratology should evaluate the benefit of temporary myopia reduction and the risk of infection.
Author	Hsiao, Ching-Hsi Lin, Ken-Kuo Chen, Yeong-Fong Yeh, Lung-Kun Tan, Hsin-Yuan Huang, Samuel C. M Ma, David H. K Lin, Hsin-Chiung
AuthorAffiliation	From the Department of Ophthalmology, Chang Gung Memorial Hospital, No. 199, Tung Hwa North Road, Taipei, Taiwan, Republic of China
AuthorAffiliation_xml	– name: From the Department of Ophthalmology, Chang Gung Memorial Hospital, No. 199, Tung Hwa North Road, Taipei, Taiwan, Republic of China
Author_xml	– sequence: 1 givenname: Ching-Hsi surname: Hsiao fullname: Hsiao, Ching-Hsi organization: From the Department of Ophthalmology, Chang Gung Memorial Hospital, No. 199, Tung Hwa North Road, Taipei, Taiwan, Republic of China – sequence: 2 givenname: Hsin-Chiung surname: Lin fullname: Lin, Hsin-Chiung – sequence: 3 givenname: Yeong-Fong surname: Chen fullname: Chen, Yeong-Fong – sequence: 4 givenname: David surname: Ma middlename: H. K fullname: Ma, David H. K – sequence: 5 givenname: Lung-Kun surname: Yeh fullname: Yeh, Lung-Kun – sequence: 6 givenname: Hsin-Yuan surname: Tan fullname: Tan, Hsin-Yuan – sequence: 7 givenname: Samuel surname: Huang middlename: C. M fullname: Huang, Samuel C. M – sequence: 8 givenname: Ken-Kuo surname: Lin fullname: Lin, Ken-Kuo
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Cites_doi	10.1001/archopht.1994.01090140062024 10.1136/bjo.72.12.926 10.1097/00140068-200301001-00005 10.1016/S0161-6420(87)33491-8 10.1016/S0161-6420(97)30092-X 10.1016/S0892-8967(97)00055-2 10.1136/bjo.82.12.1387 10.1056/NEJM198909213211201 10.1097/00003226-200304000-00017 10.1136/bjo.86.5.536 10.1046/j.1442-9071.2002.00483.x 10.1097/00006324-198303000-00006 10.1097/00003226-200304000-00018 10.1016/S0161-6420(80)35171-3 10.1016/j.ophtha.2003.06.003 10.1001/archopht.1991.01080100127058 10.1016/0002-9394(88)90056-6 10.1016/S0002-9394(01)00931-X 10.1046/j.1475-1313.1998.00342.x 10.1097/00006324-200005000-00012
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SubjectTerms	Acanthamoeba - isolation & purification Acanthamoeba Keratitis - drug therapy Acanthamoeba Keratitis - etiology Adolescent Adult Animals Anti-Bacterial Agents - therapeutic use Antiprotozoal Agents - therapeutic use Bacteria - isolation & purification Child Contact Lenses - adverse effects Cornea - microbiology Cornea - parasitology Corneal Ulcer - drug therapy Corneal Ulcer - microbiology Drug Therapy, Combination Eye Infections, Bacterial - drug therapy Eye Infections, Bacterial - etiology Female Humans Male Retrospective Studies Visual Acuity
Title	Infectious Keratitis Related to Overnight Orthokeratology
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