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Bacterial keratitis early after corneal crosslinking with riboflavin and ultraviolet-A.
J Cataract Refract Surg. 2009 Mar; 35(3):588-9.JC

Abstract

We report a case of bacterial keratitis 3 days after corneal crosslinking for keratoconus. The patient complained of increasing pain and redness combined with blurred vision in the treated eye starting on the first postoperative day. Clinical examination showed multiple stromal infiltrations and moderate anterior chamber inflammation. Corneal scraping revealed an Escherichia coli infection, which was successfully treated with fortified tobramycin and cephazolin eyedrops for several weeks. This is the first report of a case of rare postoperative complication resulted in an avascularized corneal scar and permanent reduction of the visual acuity.

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Authors+Show Affiliations

Pollhammer M
Department of Ophthalmology, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen, Germany. matthias.pollhammer@uk-erlangen.de
Cursiefen C
No affiliation info available

MeSH

AdultAnti-Bacterial AgentsCefazolinCollagenCorneal StromaCorneal UlcerDrug Therapy, CombinationEscherichia coliEscherichia coli InfectionsEye Infections, BacterialHumansKeratoconusMalePhotochemotherapyPhotosensitizing AgentsPostoperative ComplicationsRiboflavinTobramycinUltraviolet RaysVisual Acuity

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

19251154

Clinical Trial Links

Non-inferiority Trial of Iontophoretic Corneal Collagen Crosslinking (CXL) Compared to Standard Corneal Collagen Crosslinking in Progressive Keratoconus.

Citation

Pollhammer, Matthias, and Claus Cursiefen. "Bacterial Keratitis Early After Corneal Crosslinking With Riboflavin and Ultraviolet-A." Journal of Cataract and Refractive Surgery, vol. 35, no. 3, 2009, pp. 588-9.
Pollhammer M, Cursiefen C. Bacterial keratitis early after corneal crosslinking with riboflavin and ultraviolet-A. J Cataract Refract Surg. 2009;35(3):588-9.
Pollhammer, M., & Cursiefen, C. (2009). Bacterial keratitis early after corneal crosslinking with riboflavin and ultraviolet-A. Journal of Cataract and Refractive Surgery, 35(3), 588-9. https://doi.org/10.1016/j.jcrs.2008.09.029
Pollhammer M, Cursiefen C. Bacterial Keratitis Early After Corneal Crosslinking With Riboflavin and Ultraviolet-A. J Cataract Refract Surg. 2009;35(3):588-9. PubMed PMID: 19251154.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Bacterial keratitis early after corneal crosslinking with riboflavin and ultraviolet-A. AU - Pollhammer,Matthias, AU - Cursiefen,Claus, PY - 2008/07/18/received PY - 2008/08/03/revised PY - 2008/08/04/accepted PY - 2009/3/3/entrez PY - 2009/3/3/pubmed PY - 2009/5/22/medline SP - 588 EP - 9 JF - Journal of cataract and refractive surgery JO - J Cataract Refract Surg VL - 35 IS - 3 N2 - We report a case of bacterial keratitis 3 days after corneal crosslinking for keratoconus. The patient complained of increasing pain and redness combined with blurred vision in the treated eye starting on the first postoperative day. Clinical examination showed multiple stromal infiltrations and moderate anterior chamber inflammation. Corneal scraping revealed an Escherichia coli infection, which was successfully treated with fortified tobramycin and cephazolin eyedrops for several weeks. This is the first report of a case of rare postoperative complication resulted in an avascularized corneal scar and permanent reduction of the visual acuity. SN - 1873-4502 UR - https://www.unboundmedicine.com/medline/citation/19251154/Bacterial_keratitis_early_after_corneal_crosslinking_with_riboflavin_and_ultraviolet_A_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0886-3350(08)01195-4 DB - PRIME DP - Unbound Medicine ER -