Methicillin-resistant Staphylococcus aureus keratitis after excimer laser photorefractive keratectomy1.
A 43-year-old woman in good health was admitted to the hospital 3 days after photorefractive keratectomy (PRK) in the left eye with postoperative bandage contact lens application. She had developed a severe keratitis with ulceration and hypopyon. Upon the patient's admission to the hospital, the contact lens was removed. Ofloxacin eyedrops were prescribed 4 times a day. In the hospital, the patient was successfully treated with immediate thermocautery application, followed by full-thickness keratoplasty the next day and intensive systemic and topical antibiotics. Cultures were positive for methicillin-resistant Staphylococcus aureus (MRSA). Severe MRSA keratitis is a rare cause of infection after PRK.
Förster
Werner
W
University Eye Hospital, University of Münster, Munster, Germany.
Becker
Karsten
K
Hungermann
Daniela
D
Busse
Holger
H
D000328:Adult; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D005260:Female; D006801:Humans; D007634:Keratitis / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D015948:Keratoplasty, Penetrating; D054018:Lasers, Excimer; D008712:Methicillin / Q000627:therapeutic use*; D016106:Methicillin Resistance; D018903:Photorefractive Keratectomy / Q000009:adverse effects*; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D013211:Staphylococcus aureus / Q000187:drug effects / Q000302:isolation & purification*
D008712:Methicillin