A Case of Microbial Keratitis as a Complication of Orthokeratology Contact Lens Wear

ABSTRACT

Orthokeratology is a nonsurgical measure for correcting ametropia, especially, myopia by changing corneal curvature and refractive powers with the use of tight-fitting, progressively flatter, and rigid contact lenses. Contact lens-related microbial keratitis is already well-known, but keratitis which was developed in orthokeratology lens is not reported yet. Only one case of filtering bleb infection as a complication of orthokeratology lens wear is reported abroad in a patient who had been performed a right trabeculectomy in combination with phacoemulsification and insertion of an intraocular lens implant before. We treated successfully the microbial keratitis which developed in a 11-year-old boy with fortified antibiotics who had worn orthokeratology lens for one month.