Serratia marcescens corneal ulcer as a complication of orthokeratology

作     者：Chen, KH Kuang, TM Hsu, WM 

作者机构：Taipei Vet Gen Hosp Dept Ophthalmol Taipei 112 Taiwan Natl Yang Ming Univ Taipei 112 Taiwan 

出 版 物：《AMERICAN JOURNAL OF OPHTHALMOLOGY》 (美国眼科学杂志)

年 卷 期：2001年第132卷第2期

页      面：257-258页

核心收录：

学科分类：1002[医学-临床医学] 100212[医学-眼科学] 10[医学] 

主　　题：抗感染药/治疗应用 散光/治疗 环丙沙星/治疗应用 接触镜/微生物学 角膜/微生物学 角膜溃疡/药物疗法 角膜溃疡/病因学 眼感染 细菌性/药物疗法 眼感染 细菌性/病因学 近视/治疗 危险因素 沙雷菌感染/药物疗法 沙雷菌感染/病因学 沙雷菌 黏质/分离和提纯 视敏度 儿童 人类 男(雄)性 

摘      要：PURPOSE: To report a case of Serratia Marcescens corneal ulcer as a complication of orthokeratology treatment. METHODS: Case report. RESULTS: A 9-year,old male who underwent orthokeratology treatment for 6 months suffered from a corneal ulcer. The refractive state of lesion eye was -5.5D/-1.25D X 180 degrees, and visual acuity was hand motion at 30 cm. He wore a retainer lens, rigid gas permeable lens, overnight for 2 months before the corneal ulcer occurred. Ulcer became worse after tobramycin and gentamycin treatment for 2 days. After ciprofloxacin treatment, the ulcer healed and visual acuity recovered to 20/20 with spectacle correction. Cultures of the cornea tissue and contact lens storage solution both grew Serratia Marcescens, Which was sensitive to ciprofloxacin. CONCLUSION: Overnight wearing of a rigid contact lens is a risk factor for a corneal ulcer. (C) 2001 by Elsevier Science Inc. All rights reserved.