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Bacterial keratitis after primary pediatric penetrating keratoplasty.
Am J Ophthalmol. 2007 Jun; 143(6):1045-7.AJ

Abstract

PURPOSE

To determine the prevalence, microbiological profile, and prognosis for bacterial keratitis after primary pediatric penetrating keratoplasty (PKP).

DESIGN

Retrospective case series.

METHODS

Retrospective review of all cases of primary PKP performed in children 12 years of age or younger at the King Khaled Eye Specialist Hospital between January 1, 1990 and December 31, 2005 and inclusion of all postoperative cases of culture-positive, bacterial keratitis.

RESULTS

Culture-positive bacterial keratitis developed in 35 (17.3%) of 202 primary keratoplasties. Gram-positive organisms were cultured in 91.4% of infected eyes and accounted for 77.6% of isolates. Streptococcus pneumoniae was the most common organism. No eyes achieved a final visual acuity of 20/40 or better, while 65.7% had hand motions or worse.

CONCLUSIONS

Bacterial keratitis after pediatric keratoplasty is a serious complication that is associated with a high risk of graft failure and poor visual outcome.

Authors+Show Affiliations

Department of Ophthalmology, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia. mwagoner@kkesh.med.saNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17524776

Citation

Wagoner, Michael D., et al. "Bacterial Keratitis After Primary Pediatric Penetrating Keratoplasty." American Journal of Ophthalmology, vol. 143, no. 6, 2007, pp. 1045-7.
Wagoner MD, Al-Ghamdi AH, Al-Rajhi AA. Bacterial keratitis after primary pediatric penetrating keratoplasty. Am J Ophthalmol. 2007;143(6):1045-7.
Wagoner, M. D., Al-Ghamdi, A. H., & Al-Rajhi, A. A. (2007). Bacterial keratitis after primary pediatric penetrating keratoplasty. American Journal of Ophthalmology, 143(6), 1045-7.
Wagoner MD, Al-Ghamdi AH, Al-Rajhi AA. Bacterial Keratitis After Primary Pediatric Penetrating Keratoplasty. Am J Ophthalmol. 2007;143(6):1045-7. PubMed PMID: 17524776.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Bacterial keratitis after primary pediatric penetrating keratoplasty. AU - Wagoner,Michael D, AU - Al-Ghamdi,Ali H, AU - Al-Rajhi,Ali A, PY - 2006/10/27/received PY - 2006/12/16/revised PY - 2006/12/19/accepted PY - 2007/5/26/pubmed PY - 2007/6/29/medline PY - 2007/5/26/entrez SP - 1045 EP - 7 JF - American journal of ophthalmology JO - Am J Ophthalmol VL - 143 IS - 6 N2 - PURPOSE: To determine the prevalence, microbiological profile, and prognosis for bacterial keratitis after primary pediatric penetrating keratoplasty (PKP). DESIGN: Retrospective case series. METHODS: Retrospective review of all cases of primary PKP performed in children 12 years of age or younger at the King Khaled Eye Specialist Hospital between January 1, 1990 and December 31, 2005 and inclusion of all postoperative cases of culture-positive, bacterial keratitis. RESULTS: Culture-positive bacterial keratitis developed in 35 (17.3%) of 202 primary keratoplasties. Gram-positive organisms were cultured in 91.4% of infected eyes and accounted for 77.6% of isolates. Streptococcus pneumoniae was the most common organism. No eyes achieved a final visual acuity of 20/40 or better, while 65.7% had hand motions or worse. CONCLUSIONS: Bacterial keratitis after pediatric keratoplasty is a serious complication that is associated with a high risk of graft failure and poor visual outcome. SN - 0002-9394 UR - https://www.unboundmedicine.com/medline/citation/17524776/Bacterial_keratitis_after_primary_pediatric_penetrating_keratoplasty_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9394(06)01461-9 DB - PRIME DP - Unbound Medicine ER -