“…Despite the host's robust immune response, it is not sufficient to defeat the damage that this bacterium produces, nor the formation of corneal ulcers leading to severe vision dysfunction within 2-3 days, depending on the virulence of the bacterial strains [99,102]. The risk for bacterial keratitis is higher in contact lens wearers, particularly for overnight use of disposable lenses and extended wear modalities [1,82,94,101], because of lens-induced compromise of innate defences including reduced epithelial turnover and impaired ability to produce various antimicrobial proteins, including AMPs [31,83,99]. In addition, contact lens wear induces hypoxia and decreased production of the tear film [3], which contribute to creating a hostile environment where P. aeruginosa can easily grow [109].…”