Recurrent methicillin-resistant Staphylococcus aureus wound ulcer after clear-cornea cataract surgery.
OBJECTIVE
To present a case of recurrent, methicillin-resistant Staphylococcus aureus (MRSA) wound ulcer after clear-cornea cataract surgery.


METHODS
Case report.


RESULTS
An 82-year-old man underwent an uncomplicated phacoemulsification procedure with posterior-chamber intraocular lens (PCIOL) implantation. Two weeks after surgery, a corneal ulcer was present at the wound site. Corneal tissue sample cultures produced methicillin-resistant Staphylococcus aureus. The ulcer responded to high-dose vancomycin but recurred twice as vancomycin was tapered. Lamellar keratectomy with conjunctival flap was performed at 6 months after surgery, with no additional ulcer recurrence.


CONCLUSIONS
Wound infection after clear-cornea cataract surgery occurs infrequently. Management of these infections, however, can provide challenging clinical decisions.
Chiang
Robert K
RK
Corneal Service, Wills Eye Hospital, Philadelphia, Pennsylvania 19107, USA. cjrapuano@hslc.org
Rapuano
Christopher J
CJ
D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003228:Conjunctiva / Q000601:surgery; D003320:Corneal Ulcer / Q000382:microbiology* / Q000628:therapy; D015818:Eye Infections, Bacterial / Q000209:etiology / Q000628:therapy; D006801:Humans; D019654:Lens Implantation, Intraocular; D008297:Male; D016106:Methicillin Resistance; D018918:Phacoemulsification / Q000009:adverse effects*; D011183:Postoperative Complications; D012008:Recurrence; D013203:Staphylococcal Infections / Q000209:etiology / Q000628:therapy; D013211:Staphylococcus aureus / Q000302:isolation & purification*; D013524:Surgical Flaps; D013530:Surgical Wound Infection / Q000382:microbiology* / Q000628:therapy; D016896:Treatment Outcome; D014640:Vancomycin / Q000627:therapeutic use; D014792:Visual Acuity
D000900:Anti-Bacterial Agents; D014640:Vancomycin