Tags

Type your tag names separated by a space and hit enter

Acute Corneal Hydrops Complicated by Microbial Keratitis: Case Series Reveals Poor Immediate and Long-Term Prognosis.
Cornea. 2016 Jul; 35(7):1019-22.C

Abstract

PURPOSE

Acute corneal hydrops is a rare complication of keratoconus and may be a risk factor for further complications such as microbial keratitis.

METHODS

Retrospective, case series.

RESULTS

Six eyes developed microbial keratitis during acute corneal hydrops. Risk factors for the development of microbial keratitis included epithelial defect, contact lens wear, trichiasis, and use of topical steroids. Two eyes developed corneal perforation and 1 eye was treated for possible endophthalmitis. All eyes developed marked scarring and neovascularization with final visual acuity of 20/200 or less. Three eyes received penetrating keratoplasty, and each experienced endothelial rejection with 1 eye developing graft failure.

CONCLUSIONS

Microbial keratitis is a rare complication that may develop during acute corneal hydrops. The infection may rapidly appear and spread throughout the cornea and can lead to severe corneal scarring, neovascularization, and loss of vision and may prejudice subsequent keratoplasty. Prophylactic topical antibiotics should always be considered when treating acute corneal hydrops.

Authors+Show Affiliations

Department of Ophthalmology, New Zealand National Eye Centre, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.No affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

27191669

Citation

Meyer, Jay J., and Charles N J. McGhee. "Acute Corneal Hydrops Complicated By Microbial Keratitis: Case Series Reveals Poor Immediate and Long-Term Prognosis." Cornea, vol. 35, no. 7, 2016, pp. 1019-22.
Meyer JJ, McGhee CN. Acute Corneal Hydrops Complicated by Microbial Keratitis: Case Series Reveals Poor Immediate and Long-Term Prognosis. Cornea. 2016;35(7):1019-22.
Meyer, J. J., & McGhee, C. N. (2016). Acute Corneal Hydrops Complicated by Microbial Keratitis: Case Series Reveals Poor Immediate and Long-Term Prognosis. Cornea, 35(7), 1019-22. https://doi.org/10.1097/ICO.0000000000000883
Meyer JJ, McGhee CN. Acute Corneal Hydrops Complicated By Microbial Keratitis: Case Series Reveals Poor Immediate and Long-Term Prognosis. Cornea. 2016;35(7):1019-22. PubMed PMID: 27191669.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acute Corneal Hydrops Complicated by Microbial Keratitis: Case Series Reveals Poor Immediate and Long-Term Prognosis. AU - Meyer,Jay J, AU - McGhee,Charles N J, PY - 2016/5/19/entrez PY - 2016/5/19/pubmed PY - 2017/3/7/medline SP - 1019 EP - 22 JF - Cornea JO - Cornea VL - 35 IS - 7 N2 - PURPOSE: Acute corneal hydrops is a rare complication of keratoconus and may be a risk factor for further complications such as microbial keratitis. METHODS: Retrospective, case series. RESULTS: Six eyes developed microbial keratitis during acute corneal hydrops. Risk factors for the development of microbial keratitis included epithelial defect, contact lens wear, trichiasis, and use of topical steroids. Two eyes developed corneal perforation and 1 eye was treated for possible endophthalmitis. All eyes developed marked scarring and neovascularization with final visual acuity of 20/200 or less. Three eyes received penetrating keratoplasty, and each experienced endothelial rejection with 1 eye developing graft failure. CONCLUSIONS: Microbial keratitis is a rare complication that may develop during acute corneal hydrops. The infection may rapidly appear and spread throughout the cornea and can lead to severe corneal scarring, neovascularization, and loss of vision and may prejudice subsequent keratoplasty. Prophylactic topical antibiotics should always be considered when treating acute corneal hydrops. SN - 1536-4798 UR - https://www.unboundmedicine.com/medline/citation/27191669/Acute_Corneal_Hydrops_Complicated_by_Microbial_Keratitis:_Case_Series_Reveals_Poor_Immediate_and_Long_Term_Prognosis_ L2 - https://doi.org/10.1097/ICO.0000000000000883 DB - PRIME DP - Unbound Medicine ER -