Document Detail


Contact lens-induced keratitis resembling central toxic keratopathy syndrome.
MedLine Citation:
PMID:  19724197     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To document a case of contact lens-induced keratitis resembling central toxic keratopathy syndrome. METHODS: A 23-year-old female developed an acute, central, stromal haze subsequent to soft contact lens overwear. Slit lamp examination revealed corrugated stromal "mud cracks," as seen in stage IV diffuse lamellar keratitis (DLK). This was accompanied by relative corneal thinning and flattening with a hyperopic shift of approximately 6 diopters. RESULTS: Eight weeks after discontinuing contact lens wear and after a 2-week tapering regimen of topical steroids, she had partial resolution of the central haze, partial increase in corneal thickness, steepness, and decrease in hyperopic shift. CONCLUSION: The authors present a case with a history of soft contact lens overwear and a clinical presentation notably similar to the central toxic keratopathy syndrome, which has recently been reported after laser refractive surgery.
Authors:
Majid Moshirfar; Christopher Kurz; Mehdi Ghajarnia
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Cornea     Volume:  28     ISSN:  1536-4798     ISO Abbreviation:  Cornea     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-12-18     Completed Date:  2010-02-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8216186     Medline TA:  Cornea     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1077-80     Citation Subset:  IM    
Affiliation:
Moran Eye Center, University of Utah, Salt Lake City, Utah 84132, USA. majid.moshirfar@hsc.utah.edu
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Contact Lenses, Hydrophilic / adverse effects*
Corneal Stroma / pathology
Diagnosis, Differential
Female
Humans
Keratitis / diagnosis,  etiology*,  physiopathology
Syndrome
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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