Endophthalmitis secondary to corneal sutures: series of delayed-onset keratitis requiring intravitreal antibiotics.
OBJECTIVE
To describe 5 cases of endophthalmitis secondary to corneal sutures.


METHODS
Department of Ophthalmology, University College Hospital, Galway, Ireland.


METHODS
A retrospective review was done of 5 patients who presented over a period of 19 months with suture-related bacterial keratitis that progressed to endophthalmitis. Intravitreal antibiotics were used to control the infection.


RESULTS
Despite intensive topical broad-spectrum antibiotic treatment for suture-related infective keratitis, the infection progressed to endophthalmitis in all 5 patients. Intravitreal antibiotics resolved the infection.


CONCLUSIONS
Corneal sutures are a risk factor for infective keratitis irrespective of their site. Suture-related keratitis may progress rapidly to endophthalmitis despite intensive topical antibiotics. Intravitreal antibiotics are indicated when endophthalmitis is present.
Khurshid
Gibran S
GS
Department of Ophthalmology, University College Hospital, Galway, Ireland. syedgibran@yahoo.com
Fahy
Gerry T
GT
D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D001424:Bacterial Infections / Q000188:drug therapy* / Q000209:etiology; D003315:Cornea / Q000601:surgery*; D009877:Endophthalmitis / Q000382:microbiology*; D005260:Female; D006801:Humans; D007634:Keratitis / Q000382:microbiology*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013537:Sutures / Q000009:adverse effects*; D013997:Time Factors; D014822:Vitreous Body
D000900:Anti-Bacterial Agents