The CLAO journal : official publication of the Contact Lens Association of Ophthalmologists, Inc · 1996
Corneal melting in a chronic alcoholic contact lens wearer.
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Reisin I, Reisin L H, Aviel E
Аннотация
PURPOSE: We report a case of bilateral keratitis in a 43-year-old alcoholic patient who wore soft daily wear contact lenses.
METHODS: After consecutive negative cultures of corneal and conjunctival scrapings and after observing no improvement following antibiotic therapy, the patient was clinically diagnosed with vitamin A deficiency.
RESULTS: After 20 days of treatment with vitamin A, the patient's cornea completely healed. Laboratory results confirmed the clinical diagnosis.
CONCLUSIONS: When the ophthalmologist is confronted with corneal melting in a known alcoholic or drug-user, it is imperative to consider the possibility of vitamin A deficiency as a possible cause, especially in the contact lens wearer.
METHODS: After consecutive negative cultures of corneal and conjunctival scrapings and after observing no improvement following antibiotic therapy, the patient was clinically diagnosed with vitamin A deficiency.
RESULTS: After 20 days of treatment with vitamin A, the patient's cornea completely healed. Laboratory results confirmed the clinical diagnosis.
CONCLUSIONS: When the ophthalmologist is confronted with corneal melting in a known alcoholic or drug-user, it is imperative to consider the possibility of vitamin A deficiency as a possible cause, especially in the contact lens wearer.