title: Methicillin-resistant Staphylococcus aureus sclerokeratitis after pterygium excision.
abstract: OBJECTIVE
  To report a case of methicillin-resistant Staphylococcus aureus (MRSA) sclerokeratitis after pterygium excision.
  
  
  METHODS
  Case report.
  
  
  RESULTS
  A 72-year-old woman who had undergone pterygium excision 6 months ago was referred for severe pain and decreased visual acuity. Although infectious scleritis caused by Pseudomonas was diagnosed clinically, and intravenous amikacin and ceftazidime and topical ciprofloxacin were started, there was no improvement. MRSA was grown in a cultured test, and topical and systemic vancomycin was applied and resolved the corneoscleral inflammation. Scleral patch graft and sliding conjunctival flap were performed, and no complications or recurrences were found through 14 months after treatment.
  
  
  CONCLUSIONS
  MRSA should be considered as a possible organism in infectious scleritis after pterygium excision, especially when beta-lactam antibiotic therapy is ineffective.
authors.affiliation: From the Department of Ophthalmology, College of Medicine, Pusan National University, Pusan, Korea.
authors.forename: Ji-Eun
authors.initials: JE
authors.lastname: Lee
authors.forename: Boo Sup
authors.initials: BS
authors.lastname: Oum
authors.forename: Hee Young
authors.initials: HY
authors.lastname: Choi
authors.forename: Jong Soo
authors.initials: JS
authors.lastname: Lee
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D015818:Eye Infections, Bacterial / Q000188:drug therapy / Q000382:microbiology*; D005260:Female; D006801:Humans; D007634:Keratitis / Q000188:drug therapy / Q000382:microbiology*; D008712:Methicillin / Q000494:pharmacology; D016106:Methicillin Resistance; D008826:Microbial Sensitivity Tests; D011183:Postoperative Complications; D011625:Pterygium / Q000601:surgery*; D015423:Scleritis / Q000188:drug therapy / Q000382:microbiology*; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000382:microbiology*; D013211:Staphylococcus aureus / Q000187:drug effects / Q000302:isolation & purification*; D014640:Vancomycin / Q000627:therapeutic use
chemical_list: D000900:Anti-Bacterial Agents; D014640:Vancomycin; D008712:Methicillin