Pseudomonas aeruginosa keratitis in an atopic silicone hydrogel lens wearer with rosacea

Purpose. This case report documents Pseudomonas aeruginosa corneal infection associated with daily wear of a silicone contact lens in a patient who also had bilateral, preexisting biomicroscopic findings of ocular rosacea, seborrheic blepharitis, keratoconjunctivitis sicca, and chronic punctate corneal epitheliopathy. Conclusions. Collectively, these problems produce increased risk of infection for wear of any contact lens; and underscore the importance of proper patient selection, education and postfit monitoring even when hyper-oxygen transmitting silicone hydrogels are utilized.