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Bilateral infectious keratitis after implantation of intrastromal corneal ring segments.
Cornea. 2010 Mar; 29(3):339-41.C

Abstract

PURPOSE

To report the development of bilateral infectious keratitis after implantation of intrastromal corneal ring segments (ICRSs).

DESIGN

Retrospective case report.

PARTICIPANTS

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.

INTERVENTION

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.

METHODS

Retrospective case report of a 20-year-old woman who developed bilateral severe infectious keratitis 11 days after uncomplicated implantation of ICRSs for keratoconus.

RESULTS

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.

CONCLUSIONS

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 sight-threatening complication of this refractive procedure.

Authors+Show Affiliations

Oculoplastic and Orbit Division, Department of Ophthalmology, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia. orbitdr@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

20098317

Citation

Chaudhry, Imtiaz A., et al. "Bilateral Infectious Keratitis After Implantation of Intrastromal Corneal Ring Segments." Cornea, vol. 29, no. 3, 2010, pp. 339-41.
Chaudhry IA, Al-Ghamdi AA, Kirat O, et al. Bilateral infectious keratitis after implantation of intrastromal corneal ring segments. Cornea. 2010;29(3):339-41.
Chaudhry, I. A., Al-Ghamdi, A. A., Kirat, O., Al-Swelmi, F., Al-Rashed, W., & Shamsi, F. A. (2010). Bilateral infectious keratitis after implantation of intrastromal corneal ring segments. Cornea, 29(3), 339-41. https://doi.org/10.1097/ICO.0b013e3181a87b35
Chaudhry IA, et al. Bilateral Infectious Keratitis After Implantation of Intrastromal Corneal Ring Segments. Cornea. 2010;29(3):339-41. PubMed PMID: 20098317.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Bilateral infectious keratitis after implantation of intrastromal corneal ring segments. AU - Chaudhry,Imtiaz A, AU - Al-Ghamdi,Ali A, AU - Kirat,Omar, AU - Al-Swelmi,Farhan, AU - Al-Rashed,Waleed, AU - Shamsi,Farrukh A, PY - 2010/1/26/entrez PY - 2010/1/26/pubmed PY - 2010/5/8/medline SP - 339 EP - 41 JF - Cornea JO - Cornea VL - 29 IS - 3 N2 - PURPOSE: To report the development of bilateral infectious keratitis after implantation of intrastromal corneal ring segments (ICRSs). DESIGN: Retrospective case report. PARTICIPANTS: 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. INTERVENTION: 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. METHODS: Retrospective case report of a 20-year-old woman who developed bilateral severe infectious keratitis 11 days after uncomplicated implantation of ICRSs for keratoconus. RESULTS: 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. CONCLUSIONS: 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 sight-threatening complication of this refractive procedure. SN - 1536-4798 UR - https://www.unboundmedicine.com/medline/citation/20098317/Bilateral_infectious_keratitis_after_implantation_of_intrastromal_corneal_ring_segments_ L2 - http://dx.doi.org/10.1097/ICO.0b013e3181a87b35 DB - PRIME DP - Unbound Medicine ER -