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Combined acanthamoeba and Stenotrophomonas maltophilia keratitis treated with a conjunctival flap followed by penetrating keratoplasty.
Cornea. 2006 Jun; 25(5):631-3.C

Abstract

PURPOSE

To describe whether a technique of treatment of a combined acanthamoeba-stenotrophomonas keratitis with a conjunctival flap followed by a penetrating keratoplasty is successful.

METHODS

A case of chronic ring-shaped keratitis in which Stenotrophomonas maltophilia was isolated with corneal scrapings, and acanthamoeba cysts were found with a corneal biopsy. The infection was resistant to conventional medical treatment. It was treated with a conjunctival flap combined with corneal cryo treatment, followed by a penetrating keratoplasty 6 months later.

RESULTS

The patient achieved immediate pain relief after the conjunctival flap. All medications were tapered off over 3 months. A penetrating keratoplasty was performed after 6 months. The cornea remained clear and the best-corrected visual acuity is 20/25 2 years after surgery.

CONCLUSIONS

A combined acanthamoeba-stenotrophomonas keratitis, which is resistant to medical therapy, can be treated successfully with a conjunctival flap followed by a penetrating keratoplasty.

Authors+Show Affiliations

Department of Ophthalmology, The Ohio State University, Columbus, Ohio 43210, USA. Mauger.2@osu.eduNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

16783158

Citation

Mauger, Thomas F., and Elson Craig. "Combined Acanthamoeba and Stenotrophomonas Maltophilia Keratitis Treated With a Conjunctival Flap Followed By Penetrating Keratoplasty." Cornea, vol. 25, no. 5, 2006, pp. 631-3.
Mauger TF, Craig E. Combined acanthamoeba and Stenotrophomonas maltophilia keratitis treated with a conjunctival flap followed by penetrating keratoplasty. Cornea. 2006;25(5):631-3.
Mauger, T. F., & Craig, E. (2006). Combined acanthamoeba and Stenotrophomonas maltophilia keratitis treated with a conjunctival flap followed by penetrating keratoplasty. Cornea, 25(5), 631-3.
Mauger TF, Craig E. Combined Acanthamoeba and Stenotrophomonas Maltophilia Keratitis Treated With a Conjunctival Flap Followed By Penetrating Keratoplasty. Cornea. 2006;25(5):631-3. PubMed PMID: 16783158.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Combined acanthamoeba and Stenotrophomonas maltophilia keratitis treated with a conjunctival flap followed by penetrating keratoplasty. AU - Mauger,Thomas F, AU - Craig,Elson, PY - 2006/6/20/pubmed PY - 2006/8/4/medline PY - 2006/6/20/entrez SP - 631 EP - 3 JF - Cornea JO - Cornea VL - 25 IS - 5 N2 - PURPOSE: To describe whether a technique of treatment of a combined acanthamoeba-stenotrophomonas keratitis with a conjunctival flap followed by a penetrating keratoplasty is successful. METHODS: A case of chronic ring-shaped keratitis in which Stenotrophomonas maltophilia was isolated with corneal scrapings, and acanthamoeba cysts were found with a corneal biopsy. The infection was resistant to conventional medical treatment. It was treated with a conjunctival flap combined with corneal cryo treatment, followed by a penetrating keratoplasty 6 months later. RESULTS: The patient achieved immediate pain relief after the conjunctival flap. All medications were tapered off over 3 months. A penetrating keratoplasty was performed after 6 months. The cornea remained clear and the best-corrected visual acuity is 20/25 2 years after surgery. CONCLUSIONS: A combined acanthamoeba-stenotrophomonas keratitis, which is resistant to medical therapy, can be treated successfully with a conjunctival flap followed by a penetrating keratoplasty. SN - 0277-3740 UR - https://www.unboundmedicine.com/medline/citation/16783158/Combined_acanthamoeba_and_Stenotrophomonas_maltophilia_keratitis_treated_with_a_conjunctival_flap_followed_by_penetrating_keratoplasty_ L2 - https://doi.org/10.1097/01.ico.0000214214.45070.b6 DB - PRIME DP - Unbound Medicine ER -