PURPOSE: : The aim was to report a case of methicillin-resistant
Staphylococcus aureus (MRSA) keratitis possibly associated with the use of a
silicone hydrogel soft contact lens in a patient with dry eye. METHODS: : This is a case report. RESULTS: : A 61-year-old woman who wore a silicone hydrogel lens as
therapy for filamentary keratitis with severe dry eye presented with pain and
redness in her left eye. She developed severe keratitis with ulceration and
hypopyon. The MRSA grew in the culture, and intensive systemic and topical
antibiotics resolved the corneal keratitis. CONCLUSIONS: : The MRSA may cause infectious keratitis associated with
silicone hydrogel contact lens therapy.
Department of Ophthalmology (S.K, N.M, T.S, M.T, H.W., K.N.), Osaka University Graduate School of Medicine, Suita, Japan; and Department of Ophthalmology (Y.H.), Toho University Sakura Medical School, Chiba, Japan.