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Bilateral methicillin-resistant Staphylococcus aureus keratitis following hyperopic photorefractive surgery

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Abstract

To report clinical manifestations of a female patient with bilateral bacterial keratitis following photorefractive keratectomy (PRK). Bilateral PRK was performed for moderate hyperopia. Bandage contact lenses were fitted at the conclusion of the surgery. Bilateral infectious keratitis with hypopion was diagnosed within 4 days after surgery. Smear and culture were obtained and showed the presence of methicillin-resistant Staphylococcus aureus (MRSA). The patient was treated with systemic prednisone and topical antibiotics (vancomycin, tobramycin and netylmicin) and betamethasone. After 1 month corneal leukoma was still present and remained unchanged during the following 7 months. Infectious keratitis is a rare complication of PRK that appears early in the postoperative period. MRSA keratitis may determine long-term visual impairment despite prompt therapeutic intervention.

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References

  1. Wroblewski KJ, Pasternak JF, Bower KS, Schallhorn SC, Hubickey WJ, Harrison CE, Torres MF, Barnes SD (2006) Infectious keratitis after photorefractive keratectomy in the United States army and navy. Ophthalmology 113:520–525

    Article  PubMed  Google Scholar 

  2. Solomon R, Donnenfeld ED, Perry HD, Biser S (2003) Bilateral methicillin-resistant Staphylococcus aureus keratitis in a medical resident following an uneventful bilateral photorefractive keratectomy. Eye Contact Lens 29(3):187–189

    Article  PubMed  Google Scholar 

  3. Donnenfeld ED, O’Brien TP, Solomon R et al (2003) Infectious keratitis after photorefractive keratectomy. Ophthalmology 110:743–747

    Article  PubMed  Google Scholar 

  4. Machat JJ (1996) Excimer laser refractive surgery: practice and principles. SLACK Inc., Thorofare, pp 359–400

    Google Scholar 

  5. Leccisotti A, Bartolomei A, Greco G, Manetti C (2005) Incidence of bacterial keratitis after photorefractive keratectomy [letter]. J Refract Surg 21:95–96

    Google Scholar 

  6. Srinivasan M, Mascarenhas J, Rajaraman R, et al.; for the Steroids for Corneal Ulcers Trial Group (2011) Corticosteroids for bacterial keratitis: the steroids for corneal ulcers trial (SCUT). Arch Ophthalmol. doi:10.1001/archophthalmol.2011.315

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Authors and Affiliations

  1. Dipartimento di Scienze Oftalmologiche, Università Federico II, Via Pansini 5, 80131, Naples, Italy

    Adriano Magli, Raimondo Forte, Luca Rombetto & Roberta Carelli

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  1. Adriano Magli
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  2. Raimondo Forte
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  3. Luca Rombetto
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  4. Roberta Carelli
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Correspondence to Raimondo Forte.

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Magli, A., Forte, R., Rombetto, L. et al. Bilateral methicillin-resistant Staphylococcus aureus keratitis following hyperopic photorefractive surgery. Int Ophthalmol 32, 47–49 (2012). https://doi.org/10.1007/s10792-011-9505-1

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  • DOI: https://doi.org/10.1007/s10792-011-9505-1

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