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Elisabeth J. Cohen, MD

Arch Ophthalmol. 2009;127(11):1544-1546.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

After efforts to improve comfort, reduce toxicity, and facilitate compliance regarding multipurpose contact lens solutions, the time has come to enhance their antimicrobial efficacy. It had been hoped that the ease of use of multipurpose solutions would enhance compliance, but noncompliance remains common, and even compliant patients have developed serious infections. In 2006 and 2007, there were voluntary recalls of 2 specific multipurpose solutions owing to their association with Fusarium and Acanthamoeba corneal infections. Since this time contact lens–associated Fusarium infections appear to have decreased, but Acanthamoeba infections remain a serious problem. Standards for multipurpose solutions need to be modified to include cidal action against Acanthamoeba cysts. Instructions for contact lens care need to include directions to resume rub-and-rinse steps and avoid exposure of contact lenses and lens cases to water.

After extensive careful investigation, the Fusarium outbreak in 2005 and 2006 associated with the use . . . [Full Text of this Article]

AUTHOR INFORMATION
Author Affiliation: Wills Eye Institute, Philadelphia, Pennsylvania.

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