{"title":"隐形眼镜相关性粘质沙雷氏角膜炎1例报告。","authors":"Noor Alqudah, Mais Tashtoush","doi":"10.2147/OPTO.S535720","DOIUrl":null,"url":null,"abstract":"<p><p><i>Serratia marcescens</i> (<i>S. marcescens</i>) keratitis is a rare, sight-threatening infection primarily seen in contact lens users. A 22-year-old female developed sudden ocular symptoms two days after contact lens use. Examination revealed significant conjunctival injection, anterior chamber inflammation, and a corneal abscess with an epithelial defect. Despite initial moxifloxacin treatment, her condition worsened, requiring a switch to fortified vancomycin, ceftriaxone, and voriconazole. Cultures confirmed <i>S. marcescens</i>, allowing treatment to be streamlined to fortified ceftriaxone. The infection gradually resolved, with visual acuity returning to 20/20 and minimal residual scarring noted at one month.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"17 ","pages":"243-247"},"PeriodicalIF":1.8000,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12338314/pdf/","citationCount":"0","resultStr":"{\"title\":\"Contact Lens-Associated <i>Serratia marcescens</i> Keratitis: A Case Report.\",\"authors\":\"Noor Alqudah, Mais Tashtoush\",\"doi\":\"10.2147/OPTO.S535720\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><i>Serratia marcescens</i> (<i>S. marcescens</i>) keratitis is a rare, sight-threatening infection primarily seen in contact lens users. A 22-year-old female developed sudden ocular symptoms two days after contact lens use. Examination revealed significant conjunctival injection, anterior chamber inflammation, and a corneal abscess with an epithelial defect. Despite initial moxifloxacin treatment, her condition worsened, requiring a switch to fortified vancomycin, ceftriaxone, and voriconazole. Cultures confirmed <i>S. marcescens</i>, allowing treatment to be streamlined to fortified ceftriaxone. The infection gradually resolved, with visual acuity returning to 20/20 and minimal residual scarring noted at one month.</p>\",\"PeriodicalId\":43701,\"journal\":{\"name\":\"Clinical Optometry\",\"volume\":\"17 \",\"pages\":\"243-247\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2025-08-07\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12338314/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Optometry\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2147/OPTO.S535720\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"OPHTHALMOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Optometry","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2147/OPTO.S535720","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
Contact Lens-Associated Serratia marcescens Keratitis: A Case Report.
Serratia marcescens (S. marcescens) keratitis is a rare, sight-threatening infection primarily seen in contact lens users. A 22-year-old female developed sudden ocular symptoms two days after contact lens use. Examination revealed significant conjunctival injection, anterior chamber inflammation, and a corneal abscess with an epithelial defect. Despite initial moxifloxacin treatment, her condition worsened, requiring a switch to fortified vancomycin, ceftriaxone, and voriconazole. Cultures confirmed S. marcescens, allowing treatment to be streamlined to fortified ceftriaxone. The infection gradually resolved, with visual acuity returning to 20/20 and minimal residual scarring noted at one month.
期刊介绍:
Clinical Optometry is an international, peer-reviewed, open access journal focusing on clinical optometry. All aspects of patient care are addressed within the journal as well as the practice of optometry including economic and business analyses. Basic and clinical research papers are published that cover all aspects of optics, refraction and its application to the theory and practice of optometry. Specific topics covered in the journal include: Theoretical and applied optics, Delivery of patient care in optometry practice, Refraction and correction of errors, Screening and preventative aspects of eye disease, Extended clinical roles for optometrists including shared care and provision of medications, Teaching and training optometrists, International aspects of optometry, Business practice, Patient adherence, quality of life, satisfaction, Health economic evaluations.