Acanthamoeba Keratitis in Minors With Orthokeratology (OK) Lens Use: A Case Series.
Journal
Eye & contact lens
ISSN: 1542-233X
Titre abrégé: Eye Contact Lens
Pays: United States
ID NLM: 101160941
Informations de publication
Date de publication:
01 Feb 2021
01 Feb 2021
Historique:
accepted:
29
05
2020
pubmed:
11
7
2020
medline:
19
8
2021
entrez:
11
7
2020
Statut:
ppublish
Résumé
Myopia progression is a significant public health issue. Methods to halt myopia progression in minors continue to gain momentum. Orthokeratology, with market penetrance estimates approximating 1%, is a corneal reshaping therapy and potential myopia progression treatment. Our objective was to explore whether orthokeratology may increase the frequency of Acanthamoeba keratitis compared with other lens modalities. Individuals less than 18 years diagnosed with Acanthamoeba keratitis (AK) at the University of Illinois at Chicago (UIC) Cornea Service between January 1st, 2003, and December 31st, 2016, were retrospectively reviewed. Subjects were grouped by lens modality (soft, rigid gas permeable [RGP], and orthokeratology), and all cases with orthokeratology lens use were reviewed. The primary outcome was a history of orthokeratology lens use in minors diagnosed with AK. Forty-seven contact lens users less than 18 years were diagnosed with AK. The mean age was 15.0 years (range 12-17), 26 (55%) were women, and 4 (8.5%) had bilateral disease. Lens modality included 6 (13%) with orthokeratology, 39 (83%) with soft contact lenses, 0 with nonorthokeratology RGP (0%), and 2 (4%) unknown. The proportion of orthokeratology cases among AK minors (13%) in our case series exceeds the expected proportion of orthokeratology cases expected based on orthokeratology market penetrance (1%). Results from this case series suggest a potential increased risk of AK in orthokeratology users compared with other lens modalities. In the context of the current myopia epidemic and concerns for halting myopia progression in minors, caution should be exercised when selecting appropriate treatment options to minimize the risk of AK.
Identifiants
pubmed: 32649389
pii: 00140068-202102000-00002
doi: 10.1097/ICL.0000000000000728
pmc: PMC7790837
mid: NIHMS1600168
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
71-73Subventions
Organisme : NEI NIH HHS
ID : K12 EY021475
Pays : United States
Organisme : NEI NIH HHS
ID : P30 EY001792
Pays : United States
Informations de copyright
Copyright © 2020 Contact Lens Association of Ophthalmologists.
Déclaration de conflit d'intérêts
The authors have no conflicts of interest to disclose.
Références
Liu YM, Xie P. The safety of orthokeratology—A systematic review. Eye Contact Lens 2016;42:35–42.
Vitale S, Sperduto RD, Ferris FL III. Increased prevalence of myopia in the United States between 1971–1972 and 1999–2004. Arch Ophthalmol 2009;127:1632–1639.
Ikuno Y. Overview of the complications of high myopia. Retina 2017;37:2347–2351.
Walline JJ, Jones LA, Sinnott LT. Corneal reshaping and myopia progression. Br J Ophthalmol 2009;93:1181–1185.
Smith EL III. Prentice award lecture 2010: A case for peripheral optical treatment strategies for myopia. Optom Vis Sci 2011;88:1029–1044.
Si JK, Tang K, Bi HS, et al. Orthokeratology for myopia control: A meta-analysis. Optom Vis Sci 2015;92:252–257.
Caroline P. Contemporary orthokeratology. Cont Lens Anterior Eye 2001;24:41–46.
Choo JD, Caroline PJ, Harlin DD, et al. Morphologic changes in cat epithelium following continuous wear of orthokeratology lenses: A pilot study. Cont lens Anterior Eye 2008;31:29–37.
Tseng CH, Fong CF, Chen WL, et al. Overnight orthokeratology-associated microbial keratitis. Cornea 2005;24:778–782.
Cope JR, Collier SA, Schein OD, et al. Acanthamoeba keratitis among rigid gas permeable contact lens wearers in the United States, 2005 through 2011. Ophthalmology 2016;123:1435–1441.
Robertson DM, McCulley JP, Cavanagh HD. Severe Acanthamoeba keratitis after overnight orthokeratology. Eye Contact Lens 2007;33:121–123.
Watt KG, Swarbrick HA. Trends in microbial keratitis associated with orthokeratology. Eye Contact Lens 2007;33:373–377; discussion 382.
Tu EY, Joslin CE, Sugar J, et al. Prognostic factors affecting visual outcome in Acanthamoeba keratitis. Ophthalmology 2008;115:1998–2003.
Joslin CE, Tu EY, McMahon TT, et al. Epidemiological characteristics of a Chicago-area Acanthamoeba keratitis outbreak. Am J Ophthalmol 2006;142:212–217.
Joslin CE, Tu EY, Shoff ME, et al. The association of contact lens solution use and Acanthamoeba keratitis. Am J Ophthalmol 2007;144:169–180.
Efron N, Morgan PB, Helland M, et al. International rigid contact lens prescribing. Cont Lens Anterior Eye 2010;33:141–143.
Efron N, Nichols JJ, Woods CA, et al. Trends in US contact lens prescribing 2002 to 2014. Optom Vis Sci 2015;92:758–767.
Bullimore MA, Sinnott LT, Jones-Jordan LA. The risk of microbial keratitis with overnight corneal reshaping lenses. Optom Vis Sci 2013;90:937–944.
Ding H, Pu A, He H, et al. Changes in corneal biometry and the associated histology in rhesus monkeys wearing orthokeratology contact lenses. Cornea 2012;31:926–933.
Dart JKG, Radford CF, Minassian D, et al. Risk factors for microbial keratitis with contemporary contact lenses: A case-control study. Ophthalmology 2008;115:1647–1654.e1643.
Walline JJ. Bifocal Lenses in Nearsighted Kids (BLINK). U.S. National Library of Medicine; 2017. Available at: https://clinicaltrials.gov/ct2/show/NCT02255474 . Accessed December 20, 2017.
Stapleton F, Keay L, Edwards K, et al. The incidence of contact lens–related microbial keratitis in Australia. Ophthalmology 2008;115:1655–1662.
Edwards K, Keay L, Naduvilath T, et al. Characteristics of and risk factors for contact lens-related microbial keratitis in a tertiary referral hospital. Eye (Lond) 2009;23:153–160.
Stapleton F, Naduvilath T, Keay L, et al. Risk factors and causative organisms in microbial keratitis in daily disposable contact lens wear. PLoS One 2017;12:e0181343.