Evidence map›Paper›PMID 42834129›Full record

ArticleEye (London, England)2026

Risk factors, microbiological profiles, and clinical outcomes of paediatric infectious keratitis: The Midlands Infectious Keratitis Study.

Haneen Habib Alaali, Khawaja Muhammad Ammar Ali Javed, Alia Z Al-Mousawi, Saba Anwar, Dalia G Said, Harminder S Dua, Saaeha Rauz, Darren S J Ting

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Article in Eye (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Haneen Habib AlaaliBirmingham and Midland Eye Centre, Sandwell and West Birmingham NHS Trust, Birmingham, UK.ORCID http://orcid.org/0000-0002-7556-5116
Khawaja Muhammad Ammar Ali JavedBirmingham and Midland Eye Centre, Sandwell and West Birmingham NHS Trust, Birmingham, UK.
Alia Z Al-MousawiBirmingham and Midland Eye Centre, Sandwell and West Birmingham NHS Trust, Birmingham, UK.
Saba AnwarBirmingham and Midland Eye Centre, Sandwell and West Birmingham NHS Trust, Birmingham, UK.
Dalia G SaidDepartment of Ophthalmology, Queen's Medical Centre, Nottingham, UK.
Harminder S DuaDepartment of Ophthalmology, Queen's Medical Centre, Nottingham, UK.ORCID http://orcid.org/0000-0002-4683-6917
Saaeha RauzBirmingham and Midland Eye Centre, Sandwell and West Birmingham NHS Trust, Birmingham, UK.ORCID http://orcid.org/0000-0003-4627-3496
Darren S J TingBirmingham and Midland Eye Centre, Sandwell and West Birmingham NHS Trust, Birmingham, UK. ting.darren@gmail.com.ORCID http://orcid.org/0000-0003-1081-1141

Funding

Fight for Sight UK RESPHD2505RCUK | Medical Research Council (MRC) UKRI2441
6 · The paper itself

Abstract

objectivesTo characterise the clinical features, microbiological profiles, and outcomes of paediatric infectious keratitis (IK).

methodsThis retrospective multicentre study included paediatric patients (≤18 years old) who presented with presumed IK and underwent corneal sampling at two UK tertiary ophthalmic centres.

resultsWe included 42 cases in this study; median age was 13.3 years (IQR 10.1-16.1). Contact lens wear (15, 35.7%) and ocular surface disease (15, 35.7%) were the most common risk factors. Twenty-five (59.5%) cases were microbiologically positive (MP), with Pseudomonas aeruginosa (5, 16.1%), Staphylococcus aureus (5, 16.1%), and Serratia marcescens (5, 16.1%) being the most commonly isolated bacteria. Six (24.0%) cases were caused by polymicrobial infection (≥2 bacteria). Median presenting CDVA was 0.30 logMAR [0.20-1.30] and improved to 0.15 [0.00-0.75] at final follow-up (p < 0.001). Poor visual outcome (final CDVA > 0.6 logMAR) was observed in 11 (26.2%) cases and was associated with worse presenting CDVA (p = 0.010), prior corneal surgery (p = 0.003), and MP status (p = 0.016). Delayed corneal healing (>30 days) occurred in 17 (40.5%) cases. Complications were uncommon, including 3 (7.1%) recurrence, 2 (4.8%) corneal melt, and 1 (2.4%) perforation.

conclusionsPaediatric IK represents an important ocular morbidity in the UK. Contact lens wear was the most common risk factor and was strongly associated with P. aeruginosa infection, highlighting the need for improved awareness, education, and prevention. MP cases were associated with worse visual outcomes and features of greater disease severity. These findings support early recognition and appropriate management to optimise visual outcomes in this population.

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.