A simultaneous bilateral attack of infectious corneal ulcers in an extended-wear soft contact lens wearer: a case report.

A case study was made of a 23-year-old female with simultaneous bilateral infectious corneal ulcers related to extended-wear soft contact lenses. Cultures revealed Pseudomonas aeruginosa and Acinetobacter calcoaceticus. Multiple high risk factors were combined, including extended-wear, poor lens care, bilateral alternate wearing, and smoking. Amphetamine addiction may also have played a role. After treatment, a visual acuity of 20/20 was achieved in both eyes by the use of rigid gas-permeable contact lenses.