Risk factors associated with contact lens related microbial keratitis

Introduction: Microbial keratitis is one of the most challenging complications of contact lens (CL) wear. Proper CL practice plays an important role to reduce the risk for contact lens related microbial keratitis (CLRMK). Methods: This multi-centre case-control study was conducted from January 2008...

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Main Authors: Ismail, Lili Asma, Gyanchand Rampal, Lekhraj Rampal, Abdul Rahman, Hejar, Omar, Nazri, 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/35313/
http://psasir.upm.edu.my/id/eprint/35313/1/FKUSK1_ARTICLE_2.pdf
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author Ismail, Lili Asma
Gyanchand Rampal, Lekhraj Rampal
Abdul Rahman, Hejar
Omar, Nazri
Midi, Habshah
Ariffin, Azrin Esmady
author_facet Ismail, Lili Asma
Gyanchand Rampal, Lekhraj Rampal
Abdul Rahman, Hejar
Omar, Nazri
Midi, Habshah
Ariffin, Azrin Esmady
author_sort Ismail, Lili Asma
building UPM Institutional Repository
collection Online Access
description Introduction: Microbial keratitis is one of the most challenging complications of contact lens (CL) wear. Proper CL practice plays an important role to reduce the risk for contact lens related microbial keratitis (CLRMK). Methods: This multi-centre case-control study was conducted from January 2008 until June 2009 to determine the risk factors associated with CLRMK. Cases were defined as respondents who were treated for CLRMK, whilst controls were respondents who were contact lens wearers without microbial keratitis. Ninety four cases were compared to 94 controls to determine the risk factors for CLRMK. Results: The predictors for CLRMK were: Not washing hands with soap before handling CL (aOR 2.979, CI 1.020, 8.701 p=0.046), not performing rubbing technique whilst cleaning the CL (aOR 3.006, CI 1.198, 7.538 p=0.019) and, not cleaning the lens case with multipurpose solution daily (aOR 3.242 CI 1.463, 7.186 p=0.004). Sleeping overnight with the CL in the eye (aOR 2.864, CI 0.978, 8.386 p=0.049) and overall non-compliance with lens care procedures (aOR 2.590, CI 1.003, 6.689 p=0.049) contributed significantly to CLRMK. Conclusion: Health education and promotion in contact lens care are important and should be conducted by eye care practitioners to reduce the occurrence of CLRMK.
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spelling upm-353132016-10-12T04:20:38Z http://psasir.upm.edu.my/id/eprint/35313/ Risk factors associated with contact lens related microbial keratitis Ismail, Lili Asma Gyanchand Rampal, Lekhraj Rampal Abdul Rahman, Hejar Omar, Nazri Midi, Habshah Ariffin, Azrin Esmady Introduction: Microbial keratitis is one of the most challenging complications of contact lens (CL) wear. Proper CL practice plays an important role to reduce the risk for contact lens related microbial keratitis (CLRMK). Methods: This multi-centre case-control study was conducted from January 2008 until June 2009 to determine the risk factors associated with CLRMK. Cases were defined as respondents who were treated for CLRMK, whilst controls were respondents who were contact lens wearers without microbial keratitis. Ninety four cases were compared to 94 controls to determine the risk factors for CLRMK. Results: The predictors for CLRMK were: Not washing hands with soap before handling CL (aOR 2.979, CI 1.020, 8.701 p=0.046), not performing rubbing technique whilst cleaning the CL (aOR 3.006, CI 1.198, 7.538 p=0.019) and, not cleaning the lens case with multipurpose solution daily (aOR 3.242 CI 1.463, 7.186 p=0.004). Sleeping overnight with the CL in the eye (aOR 2.864, CI 0.978, 8.386 p=0.049) and overall non-compliance with lens care procedures (aOR 2.590, CI 1.003, 6.689 p=0.049) contributed significantly to CLRMK. Conclusion: Health education and promotion in contact lens care are important and should be conducted by eye care practitioners to reduce the occurrence of CLRMK. Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2016 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/35313/1/FKUSK1_ARTICLE_2.pdf Ismail, Lili Asma and Gyanchand Rampal, Lekhraj Rampal and Abdul Rahman, Hejar and Omar, Nazri and Midi, Habshah and Ariffin, Azrin Esmady (2016) Risk factors associated with contact lens related microbial keratitis. Malaysian Journal of Medicine and Health Sciences, 12 (1). pp. 1-8. ISSN 1675-8544 http://www.medic.upm.edu.my/dokumen/FKUSK1_ARTICLE_2.pdf
spellingShingle Ismail, Lili Asma
Gyanchand Rampal, Lekhraj Rampal
Abdul Rahman, Hejar
Omar, Nazri
Midi, Habshah
Ariffin, Azrin Esmady
Risk factors associated with contact lens related microbial keratitis
title Risk factors associated with contact lens related microbial keratitis
title_full Risk factors associated with contact lens related microbial keratitis
title_fullStr Risk factors associated with contact lens related microbial keratitis
title_full_unstemmed Risk factors associated with contact lens related microbial keratitis
title_short Risk factors associated with contact lens related microbial keratitis
title_sort risk factors associated with contact lens related microbial keratitis
url http://psasir.upm.edu.my/id/eprint/35313/
http://psasir.upm.edu.my/id/eprint/35313/
http://psasir.upm.edu.my/id/eprint/35313/1/FKUSK1_ARTICLE_2.pdf