Bacterial adherence to extended wear soft contact lenses.

Bacterial adherence to extended wear soft contact lenses.
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DOI:
10.1016/s0161-6420(90)32596-4
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发表时间:
1990-03
期刊:
影响因子:
13.7
通讯作者:
M. Aswad;T. John;M. Barza;K. Kenyon;J. Baum
M. Aswad;T. John;M. Barza;K. Kenyon;J. Baum
中科院分区:
医学1区
文献类型:
--
作者:
M. Aswad;T. John;M. Barza;K. Kenyon;J. Baum

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The authors studied the adherence ofPseudomonas aeruginosaandStaphylococcus aureusto extended wear soft contact lenses (EWSCLs) with and without focal deposits using both a radiolabeling technique and electron microscopy.P. aeruginosashowed significant adherence to contact lenses in vitro. In contrast,S. aureusfailed to show significant adherence to contact lenses in vitro (i.e., the radioactive uptake was not significantly above background). The extent of adherence ofPseudomonaswas proportional to the number of focal deposits on the lenses. Results of electron microscopic examination showed the bacteria to be adherent primarily to large focal deposits (≥ 150 μm). There was no pseudomonal adherence to the small focal deposits (≤ 50 μm) and little adherence to the areas in between the focal deposits. The authors hypothesize that worn lenses, especially those with large focal deposits, serve as a vehicle for the transport ofP. aeruginosato the cornea. This hypothesis could be a partial explanation for the high incidence of keratitis caused byP. aeruginosain EWSCL patients.