Late bacterial keratitis after implantation of intrastromal corneal ring segments.
We report a case of bacterial keratitis that occurred after implantation of intrastromal corneal ring segments (Intacs). The patient presented with decreased vision, inflammation, and stromal infiltrates localized at the extremity of an Intacs channel 3 months after surgery. Culture were positive for Clostridium perfringens and Staphylococcus epidermidis. The infiltrates progressed despite treatment with topical fortified and systemic antibiotics. The Intacs were removed. The keratitis slowly resolved, and the patient recovered a best corrected visual acuity of 20/20.
Bourcier
Tristan
T
Quinze-Vingts National Center of Ophthalmology, Paris, France. bourcier@quinze-vingts.fr
Borderie
Vincent
V
Laroche
Laurent
L
D000328:Adult; D003015:Clostridium Infections / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D003016:Clostridium perfringens / Q000302:isolation & purification; D003315:Cornea / Q000382:microbiology; D003319:Corneal Stroma / Q000601:surgery*; D020878:Device Removal; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D005839:Gentamicins / Q000627:therapeutic use; D006801:Humans; D007634:Keratitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D019736:Prostheses and Implants; D019919:Prosthesis Implantation / Q000009:adverse effects*; D012294:Rifamycins / Q000627:therapeutic use; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D013212:Staphylococcus epidermidis / Q000302:isolation & purification; D013982:Ticarcillin / Q000627:therapeutic use; D014640:Vancomycin / Q000627:therapeutic use
D005839:Gentamicins; D012294:Rifamycins; D014640:Vancomycin; D013982:Ticarcillin