J Korean Ophthalmol Soc.  2021 Apr;62(4):487-495. 10.3341/jkos.2021.62.4.487.

Dendritic Keratitis Associated with Contact Lens Wear: a Case Series and Literature Review

• Oh JS
• Cho YK

• KMID: 2515581
• DOI: http://doi.org/10.3341/jkos.2021.62.4.487

Abstract

Purpose
We report seven cases of first occurrence of dendritic keratitis associated with contact lens wear without previous keratitis history, based on a literature review. Those cases were finally diagnosed and treated as herpes virus keratitis.
Methods
Among patients who visited the ophthalmology outpatient clinic over two years, patients with dendritic corneal lesions associated with contact lens wear were included. Authors performed the diagnosis, treatment and the clinical follow up.
Results
Seven Patients with dendritic corneal lesions after wearing contact lens were diagnosed by history taking, clinical findings and molecular biological methods and were observed over the course of treatment.
Conclusions
For patients with dendritic keratitis after wearing contact lenses, there is a possibility of herpes keratitis rather than the common lesions associated with non-infectious corneal infiltration or keratitis caused by bacteria and fungus. It is necessary to observe those eyes thoroughly in respect to the exact past history taking, diagnosis by molecular-biological method as well as clinical features and the response to empirical antiviral agents.

Keyword

Contact lens; Dendritic lesion; Herpes keratitis