Recurrent corneal ulceration in presence of synthetic microfibrils

A Barsam1, N Patel1, H Laganowski2, HD Perry31Moorfields Eye Hospital, London, UK; 2Department of Ophthalmology, Queen Mary's Hospital, Sidcup, Kent, UK; 3Ophthalmic Consultants of Long Island, Nassau University, Long Island, NY, USAAbstract: Recurrence of microbial keratitis in the presence of protozoal infection is very rare and infrequently reported unless predisposing factors are present. The association of recurrent microbial keratitis and synthetic microfibrils has never previously been reported to our knowledge. This single interventional case study describes the clinical course and treatment of a contact lens wearer who was treated for Acanthamoeba keratitis with superinfection from bacterial organisms in the presence of synthetic microfibrils. The presence of synthetic fibrils on a corneal ulcer base may act as a nidus for pathological organisms and interfere with normal corneal healing. This may result in infection recurrence and the growth of resistant opportunistic organisms.Keywords: Acanthamoeba, microbial keratitis, cornea ulcer, contact lens infection, synthetic microfibril