Aims-To report the clinical findings and visual outcome of patients with ex
tended wear contact lens (EWCL) related bacterial keratitis.
Methods-11 cases with EWCL related bacterial keratitis were included. Corne
al scrapings were obtained for cytology and cultures.
Results-Nine patients had unilateral bacterial keratitis and two patients s
howed bilateral involvement. Corneal scrapings revealed Pseudomonas aerugin
osa in seven patients, Staphylococcus aureus coagulase positive in one pati
ent, and Staphylococcus epidermidis in three patients.
Conclusion-EWCLs may be associated with bacterial keratitis and may result
in visual loss. Dispensing contact lenses by optometrists should be perform
ed in consultation with ophthalmologists.