Enterococcal infectious crystalline keratopathy.
Two patients developed infectious crystalline keratopathy (ICK) 9 and 11 months after penetrating keratoplasty. In both cases, cultures yielded enterococcus sensitive to vancomycin. The first patient developed diffuse loss of corneal and conjunctival epithelia after 24 h of treatment with vancomycin eyedrops, whereas the second patient did not respond after 14 days of topical vancomycin therapy. Both patients eventually required penetrating keratoplasty. Enterococcus is a ubiquitous bacterium resistant to many antibiotics that should be suspected of causing ICK.
Department of Ophthalmology and Visual Sciences, University of Illinois, Chicago College of Medicine.
S
S
Lam
D M
DM
Meisler
J H
JH
Krachmer
D000368:Aged; D000369:Aged, 80 and over; D003316:Corneal Diseases / Q000382:microbiology* / Q000473:pathology; D003460:Crystallization; D013293:Enterococcus faecalis; D015818:Eye Infections, Bacterial / Q000473:pathology; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000473:pathology; D006801:Humans; D008297:Male