Case ReportMicrobial Keratitis Secondary to Unintended Poor Compliance With Scleral Gas-Permeable Contact LensesZimmerman, Aaron B. O.D., M.S.,; Marks, Amanda O.D., M.S.Author Information The Ohio State University College of Optometry (A.B.Z.), Columbus, OH; and Wilmer Eye Institute at Johns Hopkins Hospital (A.M.), Baltimore, MD. Address correspondence to Aaron B. Zimmerman, O.D., M.S., The Ohio State University College of Optometry, Columbus, Ohio; e-mail: [email protected] The authors have no funding or conflicts of interest to disclose. Accepted September 6, 2012 Eye & Contact Lens: Science & Clinical Practice: January 2014 - Volume 40 - Issue 1 - p e1-e4 doi: 10.1097/ICL.0b013e318273420f Buy Metrics Abstract Purpose: To report a case of neurotrophic keratitis in which scleral contact lenses improved vision from 20/100 to 20/20, however, due to poor lens care, an incident of microbial keratitis developed. Methods: A 64-year-old man with an ocular history of neurotrophic keratitis secondary to herpes simplex in each eye was successfully fit with scleral lenses. He subsequently developed microbial keratitis due to a number of risk factors. Results: The lesion was culture negative, yet was very responsive to treatment with moxifloxacin. The lesion fully healed, and the patient did not suffer additional vision loss. Conclusions: This case demonstrates the ability of scleral lenses to correct visual impairments secondary to poor epithelial integrity and illustrates the importance of the practitioner providing detailed lens care instruction. © 2014 Contact Lens Association of Ophthalmologists, Inc.