Contact Lens Related Corneal Ulcer Surveillance

 

Corneal ulcer or infective keratitis can result in devastating visual outcome, from dense corneal scar to endophthalmitis, panophthalmitis, and even evisceration. Wearing contact lens is itself a risk factor of corneal ulcer. The outbreak of contact lens related corneal ulcer in 2006 in Singapore, Hong Kong and USA, associated to contact lens cleaning solution, has emphasized the importance of keeping an active surveillance on contact lens related eye problem, especially the most severe complication i.e. corneal ulcer. During the recent outbreak in 2006, MOH Malaysia has formed a task force to monitor the situation. One of its functions was to establish an active surveillance. Doctors were required to notify MOH patients with suspected contact lens related corneal ulcer under their care. The notification forms were to be faxed to the Eye Bank based at Hospital Kuala Lumpur. With the establishment of NED website in 2007, all clinicians should notify through web application as it will be more effective and a faster means to monitor this problem.

Data collected include demography, types of contact lens and cleaning solution used, wearing pattern, causative organism, and treatment outcome after one month
 

 

Objectives

1.

To detect outbreak of contact lens related corneal ulcer 

2.

To determine pattern of causative organism of corneal ulcer

3.

To study the characteristics of patients in terms of demography, risk factors and contact lens type and wearing patterns

4.

To monitor the outcome of patients with contact lens related corneal ulcer

 

Participation

All patients who have been diagnosed to have contact lens related corneal ulcer by any eye care providers should be notified to MOH through this online notification. In centres who do not have access to online notification, cases should be notified using the notifying form as in appendix 1 and fax to Hospital Kuala Lumpur Lions Eye Bank via Fax No: 03- 26925276.
 

 

Report

1. Report from 2005 - 2006

2. Contact Lens Related Corneal Ulcer Registry - 2007 Report

 

Downloadable Data Collection Form

1. Contact Lens Corneal Ulcer Surveillance Form (PDF 46 Kb)

2. Data Definition (PDF 158 Kb)

 

 

 

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is a disease clinical database, designed as a prospective, ongoing systematic collection of data pertaining to specific visual threatening eye diseases, such as cataract, diabetic retinopathy, glaucoma, contact lens related corneal ulcer, and outcome of cataract surgery.