Acute Purulent Keratitis of Mixed Etiology Developed during Contact Lens Wearing. Clinical Case

Abstract

The article presents a description of a clinical case of advanced purulent keratitis of mixed etiology (Pseudomonas aeruginosa + acanthamoeba), developed as a result of a mode violation of soft contact lens wearing. Confocal microscopy of the cornea revealed multiple rounded hyperreflective formations (acanthamoeba cysts). Complex anti-infective conservative therapy in combination with modified crosslinking stops rapidly progressing purulent keratitis and increases visual acuity from 0.01 to 0.9.

Keywords

• contact lenses
• purulent keratitis
• infectious keratitis
• mixed keratitis
• pseudomonas aeruginosa
• modified crosslinking (m-cxl)
• acanthamoeba keratitis
• scanning electron microscopy (sem)
• corneal confocal microscopy