A pt had been using complete reported that they woke up early in the morning presenting with a swollen eye, od, which made necessary a visit at an ophthalmologist.
Family member continued that the cornea was injured and drugs were prescribed but as the state of health worsened they brought the pt to a hospital where they were hospitalized for 1 week.
According to the family member, the hospital report stated that the injury has been caused by a germ which was in the contact lens care solution (the contact lenses, solution and the lens case were examined).
The pt was discharged from hospital with a persistent corneal scar and a worsening of the visual acuity from -3 to -4 in right eye and from -3 to -3.
5 in left eye.
They had to buy new glasses and need to buy new contact lenses as the patient is a competitive athlete (apparatus gymnastics).
The hospital report states the following: hospitalization in 7 days diagnosis: corneal ulcer, ou: myopia.
Hospitalization findings: visus od: cc.
0.
2, os: cc.
0.
8.
Tensio cu: palpatory normotonic.
Anterior sector od: conjunctiva: injected, parcentral below oval corneal ulcer with endothelial films, fibrin-memnbrane.
Pupil: rounded, clear.
Lens: clear.
Fundus od shadowy view, homogenious fundic red.
Anterior sector os: according to age regular.
Fundus cs: papilla vital, sharp margin, within niveau, macula intact, periphery unremarkable, retina circular tight-fitting.
A conjunctival swab showed pseudomonas aeruginosa cd.
In the lens care solution they found serratia marcescens and gram-negative rods.
Discharge findings: cd: visus: cc.
Spt.
0,4.
Cornea nearly clear, small round healing ulcus, epithelium closed.
Anterior chamber: deep, empty.
Lens: clear.
Papilla vital, sharp margin, within niveau, physiological excavated, macula intact, with reflex, periphery unremarkable, retina circular tight-fitting.
Discharge therapy: 4 x dexamytrex ointment, 4 x floxal eyedrops, 1 x mydrum eyedrops qhs.
Conclusion and assessment: under intensive corneal caring and antibiotic therapy with floxal ointment qid, dexamytrex ointment qid (after closer of epithelium), the corneal ulcer presented nearly completely healed on the day of the discharge.
The hospital spoke in detail with the patient about a possible renewed fitting of contact lenses in about 2-3 months.
They emphasized to optimate the contact lens cleaning.
On 7 january 2003 received information from the eye doctor who treated the patient after they were discharged from hospital: after recovery of the ulcer a corneal scar remained which decreases the visual acuity in the right eye.
As the patient does a lot of sports it was very hard for them not being able to practice it as they were not allowed to wear contact lenses.
At the moment it is planned that the patient tries to wear lenses during sports.
The sponsor was unable to obtain the complaint unit, lenses and lens case for evaluation purposes.
Retain testing not possible as lot number is unknown.
No further information is available or expected.
Corrective treatment: 4 x dexamytrex ointment, 4 x floxal eyedrops, 1 x mydrum eyedrops qhs.
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