ULCERATIVE PSEUDOMONAS KERATITIS ASSOCIATED WITH CONTACT LENSES WEARING.

Abstract

The aim: To analyze cases of severe ulcerative Pseudomonas keratitis, associated with soft contact lenses (SCL) wearing. Material and methods. In 2022 there were 28 patients (28 eyes) with severe infectious corneal inflammation associated with refractive SCL wearing. Results. We have conservatively treated - 6 eyes, the average visual acuity increased from 0, 17 (M = 0.17 ± SD 0,40) till 0.5 (M = 0.49 ± SD 0,37). In 3 cases was performed therapeutic keratoplasty, stepped penetrating keratoplasty - in 2 eyes, biological covering by method N.A. Puchkovskaya - in 1 case. Conclusions. Ulcerative Pseudomonas keratitis is severe complication due to wearing SCL, it is registered in 56% of cases of bacterial keratitis associated with SCL wearing. As a result of the treatment infectious inflammatory process was stopped in all patients. It was possible to avoid urgent keratoplasty in 66% of cases due to the early (from 12 hours to 6 days) handling of patients in the hospital.