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

https://doi.org/10.18008/1816-5095-2022-4-898-905

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. 

About the Authors

Evg. A. Kasparova
M.M. Krasnov Scientific Research Institute of Eye Diseases
Russian Federation

PhD, leading research officer of the Optical media of the eye pathology department

Rossolimo str., 11A, B, Moscow, 119021, Russian Federation 



N. R. Marchenko
M.M. Krasnov Scientific Research Institute of Eye Diseases
Russian Federation

PhD, research officer of the Optical media of the eye pathology department

Rossolimo str., 11A, B, Moscow, 119021, Russian Federation 



M. N. Narbut
M.M. Krasnov Scientific Research Institute of Eye Diseases
Russian Federation

 junior researcher

Rossolimo str., 11A, B, Moscow, 119021, Russian Federation 



Z. V. Surnina
M.M. Krasnov Scientific Research Institute of Eye Diseases
Russian Federation

PhD, senior researcher of the Department of pathology of the optical media of the eye

Rossolimo str., 11A, B, Moscow, 119021, Russian Federation 



D. A. Krivolapova
M.M. Krasnov Scientific Research Institute of Eye Diseases
Russian Federation

ophthalmology resident

Rossolimo str., 11A, B, Moscow, 119021, Russian Federation 



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Review

For citations:


Kasparova E.A., Marchenko N.R., Narbut M.N., Surnina Z.V., Krivolapova D.A. Acute Purulent Keratitis of Mixed Etiology Developed during Contact Lens Wearing. Clinical Case. Ophthalmology in Russia. 2022;19(4):898-905. (In Russ.) https://doi.org/10.18008/1816-5095-2022-4-898-905

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ISSN 1816-5095 (Print)
ISSN 2500-0845 (Online)