Visual status following contact lens related microbial keratitis

Introduction: A hospital based case control study was conducted in government hospitals on contact lens patients diagnosed with microbial keratitis. Methods: The objective of this study is to determine the visual outcomes of contact lens related microbial keratitis. The visual outcomes which compris...

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Main Authors: Ismail, Lili Asma, Gyanchand Rampal, Lekhraj Rampal, Omar, Nazri, Abdul Rahman, Hejar, Midi, Habshah, Ariffin, Azrin Esmady
Format: Article
Language:English
Published: Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2016
Online Access:http://psasir.upm.edu.my/id/eprint/50417/1/FKUSK1_MJMHS_V2_NO2_4.pdf
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author Ismail, Lili Asma
Gyanchand Rampal, Lekhraj Rampal
Omar, Nazri
Abdul Rahman, Hejar
Midi, Habshah
Ariffin, Azrin Esmady
author_facet Ismail, Lili Asma
Gyanchand Rampal, Lekhraj Rampal
Omar, Nazri
Abdul Rahman, Hejar
Midi, Habshah
Ariffin, Azrin Esmady
author_sort Ismail, Lili Asma
collection UPM
description Introduction: A hospital based case control study was conducted in government hospitals on contact lens patients diagnosed with microbial keratitis. Methods: The objective of this study is to determine the visual outcomes of contact lens related microbial keratitis. The visual outcomes which comprised of visual acuity, keratometry readings, corneal topography findings and contrast sensitivity examinations was determined after three months from the first presentation at the hospitals. Results: The mean LogMAR visual acuity during presentation was 0.96 ± 0.73 or a Snellen equivalent 6/60 (n=76) and mean LogMAR visual acuity after three months was 0.10 ± 0.48 or a Snellen equivalent 6/7.5 (n=76) with a significant difference (t=11.22, df=78, p=0.001). Best fit curve for the cases had a regression coefficient, r=0.350 ± 0.063 (95% CI = 0.224, 0.447, df=78, p=0.001. The visual acuity in cases and controls was 0.10 ± 0.48 and -0.10 ± 0.14 respectively (t= -3.61, df=154 p=0.001) after three months which showed improvement. There was a reduction in the corneal uniformity index and corneal asphericity in the cases. The Corneal Uniformity Index (CU index) in cases was 63.03 ± 26.38 (n=76) and in controls, 80.13 ± 11.30 (n=77), (t= -5.22, df=151, p=0.001). There was also a reduction in the contrast sensitivity function at all spatial frequencies in the cases which was significantly different. Conclusion: Microbial keratitis reduced the vision, corneal uniformity index, asphericity and contrast sensitivity after three months in eyes of patients diagnosed with the condition.
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spelling upm.eprints-504172017-02-28T07:25:21Z http://psasir.upm.edu.my/id/eprint/50417/ Visual status following contact lens related microbial keratitis Ismail, Lili Asma Gyanchand Rampal, Lekhraj Rampal Omar, Nazri Abdul Rahman, Hejar Midi, Habshah Ariffin, Azrin Esmady Introduction: A hospital based case control study was conducted in government hospitals on contact lens patients diagnosed with microbial keratitis. Methods: The objective of this study is to determine the visual outcomes of contact lens related microbial keratitis. The visual outcomes which comprised of visual acuity, keratometry readings, corneal topography findings and contrast sensitivity examinations was determined after three months from the first presentation at the hospitals. Results: The mean LogMAR visual acuity during presentation was 0.96 ± 0.73 or a Snellen equivalent 6/60 (n=76) and mean LogMAR visual acuity after three months was 0.10 ± 0.48 or a Snellen equivalent 6/7.5 (n=76) with a significant difference (t=11.22, df=78, p=0.001). Best fit curve for the cases had a regression coefficient, r=0.350 ± 0.063 (95% CI = 0.224, 0.447, df=78, p=0.001. The visual acuity in cases and controls was 0.10 ± 0.48 and -0.10 ± 0.14 respectively (t= -3.61, df=154 p=0.001) after three months which showed improvement. There was a reduction in the corneal uniformity index and corneal asphericity in the cases. The Corneal Uniformity Index (CU index) in cases was 63.03 ± 26.38 (n=76) and in controls, 80.13 ± 11.30 (n=77), (t= -5.22, df=151, p=0.001). There was also a reduction in the contrast sensitivity function at all spatial frequencies in the cases which was significantly different. Conclusion: Microbial keratitis reduced the vision, corneal uniformity index, asphericity and contrast sensitivity after three months in eyes of patients diagnosed with the condition. Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2016 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/50417/1/FKUSK1_MJMHS_V2_NO2_4.pdf Ismail, Lili Asma and Gyanchand Rampal, Lekhraj Rampal and Omar, Nazri and Abdul Rahman, Hejar and Midi, Habshah and Ariffin, Azrin Esmady (2016) Visual status following contact lens related microbial keratitis. Malaysian Journal of Medicine and Health Sciences, 12 (2). pp. 21-27. ISSN 1675-8544 http://www.medic.upm.edu.my/dokumen/FKUSK1_MJMHS_V2_NO2_4.pdf
spellingShingle Ismail, Lili Asma
Gyanchand Rampal, Lekhraj Rampal
Omar, Nazri
Abdul Rahman, Hejar
Midi, Habshah
Ariffin, Azrin Esmady
Visual status following contact lens related microbial keratitis
title Visual status following contact lens related microbial keratitis
title_full Visual status following contact lens related microbial keratitis
title_fullStr Visual status following contact lens related microbial keratitis
title_full_unstemmed Visual status following contact lens related microbial keratitis
title_short Visual status following contact lens related microbial keratitis
title_sort visual status following contact lens related microbial keratitis
url http://psasir.upm.edu.my/id/eprint/50417/1/FKUSK1_MJMHS_V2_NO2_4.pdf
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