A 30-year-old female stored her contact lenses in tap water. She noticed deterioration of vision and visited an ophthalmologist who diagnosed her with severe retinitis. Culture of the water as well as vitreous fluid would most likely reveal
**Core Concept**
The underlying principle being tested is the association between the storage of contact lenses in contaminated water and the development of severe retinitis, likely caused by an infectious agent. **Acanthamoeba keratitis** is a well-known risk, but in this context, considering the severity and involvement of the retina, another pathogen is more likely implicated.
**Why the Correct Answer is Right**
The correct answer is related to the fact that storing contact lenses in tap water increases the risk of infection by certain microorganisms. In cases of severe retinitis following such practices, the causative agent is often **Acanthamoeba** species or other contaminants like bacteria or fungi. However, given the context of tap water and severe retinal infection, a specific organism that is commonly found in water and can cause severe eye infections is more likely.
**Why Each Wrong Option is Incorrect**
**Option A:** This choice might be incorrect because, although it could be a potential pathogen, it is not the most likely cause given the specific scenario of tap water contamination and severe retinitis.
**Option B:** Similarly, this option might not directly correlate with the use of tap water for storing contact lenses and the subsequent development of severe retinitis.
**Option C:** This choice is less likely to be correct as it may not be directly associated with the storage of contact lenses in tap water.
**Option D:** Without knowing the specifics of option D, we can infer that if it does not match the most common waterborne pathogen causing severe eye infections, it would be incorrect.
**Clinical Pearl / High-Yield Fact**
A key point to remember is that tap water can be contaminated with various microorganisms, and storing contact lenses in such water significantly increases the risk of eye infections. **Acanthamoeba** and other pathogens can lead to severe ocular complications, including retinitis, emphasizing the importance of proper lens care and storage.
**Correct Answer:** D. Acanthamoeba