Клинический случай развития язвы роговицы на фоне ношения ортокератологических линз у ребенка 11 лет

Abstract

Purpose. To represent a clinical case of the rapidly progressive purulent ulcer in 11-year-old patient applying orthokeratological contact lenses. Material and methods. Case history of patient S., who was admitted in the 2nd Ophthalmological Department of the Semashko Hospital in Ryazan. Medical history of patient S. From the Helmholtz National Research Center for Eye Diseases also was used. Results. An 11-year-old child arrived for medical help with complaints of lacrimation, photophobia, decreased vision in the left eye. The anamnesis suggests trauma, as a result of wearing orthokeratological lenses for about 2 years. At the time of admission, the objective status of the patient was the following: visual acuity of the left eye – 0.2 n/c, blepharospasm, narrowing of the palpebral fissure. Objectively, a mixed injection was determined, in the optical zone of the cornea there was a superficial defect of the epithelium, an infiltrate of irregular shape 2×2 mm. The dynamics against the background of antibacterial antiseptic, detoxification, antihistamine therapy is reflected. Discussion. The case of acute ulcer demonstrated in the article from a clinical point of view, despite the rapidly progressive course, had a favorable outcome. Early admition, adequate treatment and good tissue regeneration in children contributed to the preservation of vision in the left eye. Conclusion. It is necessary to immediately treat keratitis or erosion that occurs in patients wearing orthokeratological lenses due to the early formation of corneal ulcers and high risk of complications. Key words: corneal erosion, corneal ulcer, keratitis, orthokeratological lenses