Complementary treatment of contact lens-induced corneal ulcer using honey: a case report

Cont Lens Anterior Eye. 2015 Feb;38(1):61-3. doi: 10.1016/j.clae.2014.09.004. Epub 2014 Sep 30.


The aim of this study was to report the complementary use of honey for treatment of a contact lens-induced corneal ulcer. A 23-year-old contact lens user presented with a corneal ulcer in her left eye. She had visual acuity reduced to hand movement. There was a history of wearing contact lenses while swimming in a lake seven days before presentation. The cultures from corneal scrapings and contact lenses were positive for Klebsiella oxytoca, Pseudomonas aeruginosa, Stenotrophomonas maltophilia and Pseudomonas spp. The treatment with topical levofloxacin and 25% (w/v) γ-irradiated honeydew honey solution was effective and the patient achieved final best corrected visual acuity of affected eye. In addition to positive clinical outcome, honeydew honey was shown to be highly effective in vitro against ocular isolates, in particular S. maltophilia. The minimal inhibitory concentrations for honeydew honey ranged from 5% to 10%. These results demonstrate that honey is a promising antibacterial agent in management of corneal ulcers. Moreover, honey exhibits anti-biofilm and anti-inflammatory properties, and thus becomes an interesting ophthalmologic agent.

Keywords: Corneal ulcer; Honey; Stenotrophomonas maltophilia.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Complementary Therapies / methods*
  • Contact Lenses / adverse effects*
  • Contact Lenses / microbiology
  • Corneal Ulcer / etiology
  • Corneal Ulcer / microbiology
  • Corneal Ulcer / therapy*
  • Eye Infections, Bacterial / etiology
  • Eye Infections, Bacterial / microbiology
  • Eye Infections, Bacterial / therapy*
  • Female
  • Honey*
  • Humans
  • Visual Acuity
  • Young Adult