This article describes a case of Pseudomonas aeruginosa keratitis resulting from projection of biological fluids (bronchial secretions) on the face, mainly in the right eye. The employee presented with keratitis complicated by a corneal abscess. Consequently, the employee had a chronic and severe ocular surface and stoma destruction, possibly due to microbial proliferation into the surface tissues exacerbated by contact lenses. The infection was determined to be work related by experts.
References
1.
EzraD. G.GoyalS.MoosaviR.MillarM.LaganowskiH. C.MooreA. T. (2004). Microbial keratitis in ITU staff: An occupational hazard?Anaesthesia, 59, 1221–1223.
2.
GreenM.ApelA.StapletonF. (2008). Risk factors and causative organisms in microbial keratitis. Cornea, 27, 22–27.
3.
HayJ.SealD. V. (1995). Contact lens wear by hospital health care staff: Is there cause for concern?Journal of Hospital Infection, 30Suppl, 275–281.
4.
HoC.-K.YenY.-L.ChangC.-H.ChiangH.-C.ShenY.-Y.ChangP.-Y. (2008). Case-control study on the prevention of occupational eye injuries. The Kaohsiung Journal of Medical Sciences, 24, 10–16.
5.
HoddenbachJ. G.BoekhoornS. S.WubbelsR.VreugdenhilW.Van RooijJ.GeerardsA. J. (2014). Clinical presentation and morbidity of contact lens-associated microbial keratitis: A retrospective study. Graefe's Archive for Clinical and Experimental Ophthalmology, 252, 299–306.
6.
MelaE. K.GiannelouI. P.KoliopoulosJ. X.GartaganisS. P. (2003). Ulcerative keratitis in contact lens wearers. Eye Contact Lens, 29, 207–209.
7.
ParkinB.TurnerA.MooreE.CookS. (1997). Bacterial keratitis in the critically ill. British Journal of Ophthalmology, 81, 1060–1063.
8.
SharmaS.GopalakrishnanS.AasuriM. K.GargP.RaoG. N. (2003). Trends in contact lens-associated microbial keratitis in Southern India. Ophthalmology, 110, 138–143.
9.
ThompsonG. J.MolanS. P. (2009). Occupational eye injuries: A continuing problem. Occupational Medicine, 59, 123–125.
