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Eye Contact Lens. 2003 Jul;29(3):190-2.
Unusual morphology in orthokeratology contact lens-related cornea ulcer.

Wang JC, Lim L.

The Eye Institute at National University Hospital, Singapore.

PURPOSE: To report a case of unusual ulcer morphology in orthokeratology-related corneal ulcer. METHODS: A single observational case report of a 14-year-old Chinese female myope with a 1.5-month experience wearing overnight B.E. orthokeratology (Capricornia) lenses and presenting with a right stellate-shaped central cornea abscess. Cornea scrapings for Gram stains, culture, and antibiotic sensitivity were performed. The patient was prescribed hourly fortified cefazolin and gentamicin drops. RESULTS: Pseudomonas aeruginosa grew on blood and chocolate agar cultures. The ulcer was successfully treated with antibiotics and reepithelialized over 5 days. There was a residual central corneal scar. The refraction changed from -4.25 sphere OD and -1.75 -1.75 x160 OS to -3.50 -1.50 x160 OD and -1.50 -1.75 x165, giving a visual acuity of 20/ 25 OD and 20/20 OS. CONCLUSIONS: A flatter fit of orthokeratology lenses may be associated with unusual cornea ulcer morphology.


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