**10. Conclusions**

Despite significant technological development in contact lens materials resulting in remarkable improvement in safety and comfort, microbial keratitis continues to be a severe sight-threatening complication in contact lens wearers. Overnight extended contact lens wear and deficient lenses and case hygiene continue to be the primary risk factors for CLAIK worldwide; hence improvement in contact lens hygiene, education, and handling is necessary to reduce this potential complication.

The clinician must be able to promptly recognize the condition and identify the causative microorganism through corneal scraping, smear, and culture in case of severe keratitis, and treat the disease according to the suspected etiological agent; Empirical treatment must be initiated in every case and modified according to the clinical response and microbiology laboratory results.
