Bilateral infectious keratitis after implantation of intrastromal corneal ring segments

Cornea
Imtiaz A ChaudhryFarrukh A Shamsi

Abstract

To report the development of bilateral infectious keratitis after implantation of intrastromal corneal ring segments (ICRSs). Retrospective case report. A 20-year-old woman presented with photophobia, decreased vision, and pain 11 days after uncomplicated implantation of ICRSs for keratoconus in both eyes. Bilateral corneal stromal infiltrates were noted at the site of ICRSs implantation. The patient was started on frequent topical fortified antibiotics in both eyes. Despite aggressive medical management, stromal infiltrates progressed, necessitating removal of ICRSs from both corneas to control infectious keratitis and melting of cornea. Retrospective case report of a 20-year-old woman who developed bilateral severe infectious keratitis 11 days after uncomplicated implantation of ICRSs for keratoconus. Cultures obtained at the time of initial presentation yielded Streptococcus viridans. Patient responded well to the treatment and was left with stromal scars in both corneas. Although rare, simultaneous implantation of ICRSs may carry a risk of severe bilateral infectious keratitis. Early recognition of infection, aggressive treatment with antibiotics, and, in some cases, removal of ICRSs may be necessary to prevent serious sigh...Continue Reading

References

Feb 28, 2001·Journal of Cataract and Refractive Surgery·J RuckhoferUNKNOWN Multicenter European Corneal Correction Assessment Study Group
Mar 22, 2003·Journal of Cataract and Refractive Surgery·Tristan BourcierLaurent Laroche
May 17, 2003·Ophthalmology·Brian S Boxer WachlerRichard Nepomuceno
Jul 17, 2004·Cornea·Ana Luisa Hofling-LimaLuciene B Souza
Aug 18, 2004·Journal of Cataract and Refractive Surgery·Raneen Shehadeh-Masha'ourHanna J Garzozi
Nov 29, 2005·American Journal of Ophthalmology·Abdullah Al-TorbakMichael D Wagoner
Jul 4, 2006·Journal of Cataract and Refractive Surgery·Jorge L AlióAlberto Artola
Dec 23, 2006·American Journal of Ophthalmology·George D KymionisIoannis G Pallikaris

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Citations

Mar 8, 2013·Clinical Ophthalmology·Bradley M MitchellRamon L Font
Jul 11, 2018·Clinical & Experimental Optometry : Journal of the Australian Optometrical Association·Seyed Ali TabatabaeiFiroozeh Rahimi
Jun 20, 2019·Vestnik oftalmologii·G A OsipyanKh Khraystin
Nov 7, 2019·Ophthalmic Research·Lucía Ibares-FríasMaría Carmen Martínez-García

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