[Infectious crystalline keratopathy: a case report].
We report a case of perforated infectious crystalline keratopathy in a 88-year-old woman. Corneal surgery like keratoplasty and topical corticosteroids are the main causative factors present in the rare reported cases. Clinically, the anterior layers of cornea exhibit slowly progressive stellate infiltrates. "Viridans streptococci" are the most common micro-organisms involved but their culture for identification is difficult. As compared to cultures, histologic examination is more sensitive for diagnosis, by showing clusters of bacteria in the corneal stroma with no inflammatory response.
Terrier
J P
JP
Service d'Anatomie et de Cytologie Pathologique, Hopital d'Instruction des Amees Sainte-Anne, 83800 Toulon, Naval, France.
Calvet
P
P
Carloz
E
E
Brisou
P
P
Harket
A
A
Daubas
P
P
Pierre
C
C
D000287:Administration, Topical; D000368:Aged; D000369:Aged, 80 and over; D000893:Anti-Inflammatory Agents / Q000009:adverse effects; D003316:Corneal Diseases / Q000209:etiology / Q000382:microbiology* / Q000473:pathology*; D005260:Female; D005938:Glucocorticoids; D006094:Gram-Positive Bacteria / Q000302:isolation & purification; D006801:Humans
D000893:Anti-Inflammatory Agents; D005938:Glucocorticoids