Immunology and Microbiology Relationship of Virulence Factors and Clinical Features in Keratitis Caused by Pseudomonas aeruginosa Naoko Oka,1 Takashi Suzuki,1 Eri Ishikawa,1 Satoshi Yamaguchi,1,2 Naoki Hayashi,3 Naomasa Gotoh,3 and Yuichi Ohashi1 1Department of Ophthalmology, Ehime University Graduate School of Medicine, Toon, Ehime, Japan 2ROHTO Pharmaceutical Co., Ltd., Osaka, Japan 3Department of Microbiology and Infection Control Science, Kyoto Pharmaceutical University, Yamashina, Kyoto, Japan Correspondence: Takashi Suzuki, PURPOSE. To examine bacterial virulence factors in Pseudomonas aeruginosa isolates from Department of Ophthalmology, contact lens (CL) wearers and non–CL wearers with P. aeruginosa keratitis, and to investigate Ehime University Graduate School of relationships between virulence factors and clinical features of keratitis. Medicine, Shitsukawa, Toon, Ehime 791-0295, Japan; METHODS. The study involved 25 subjects including 18 CL and 7 non–CL-related P. aeruginosa
[email protected] keratitis patients. Slit-lamp photographs of all subjects were captured, and the focus Submitted: June 24, 2015 occupancy ratio (FOR) was defined as the total focus area/entire cornea area, using image Accepted: September 22, 2015 processing software. Twenty-five clinical P. aeruginosa isolates from keratitis were assessed for protease production, elastase production, biofilm formation, bacterial swimming and Citation: Oka N, Suzuki T, Ishikawa E, swarming motility, cell surface hydrophobicity, and genes encoding the type III secretion et al. Relationship of virulence factors and clinical features in keratitis caused system (TTSS) effectors (ExoU and ExoS). by Pseudomonas aeruginosa. Invest RESULTS. Ring abscess was found in 9 of 18 CL-related P. aeruginosa keratitis cases (CL[þ] Ophthalmol Vis Sci.