title: Suture-related keratitis following cataract surgery caused by methicillin-resistant Staphylococcus aureus.
abstract: A 54-year old-man presented with a two-day history of severe pain and decreased vision. Examination revealed a corneal ulcer associated with a loose suture from cataract surgery done approximately two years ago. The suture was removed and the patient was started on topic antibiotic treatment with cefazolin and gentamycin. Cultures revealed methicillin-resistant Staphylococcus aureus (MRSA). The antibiotic regimen was changed to include vancomycin but the ulcer continued to progress. Three days later, the ulcer had perforated and an emergent corneal patch graft was performed. To our knowledge, this is the first reported case of suture-related MRSA keratitis after uncomplicated clear corneal cataract surgery.
authors.affiliation: Cole Eye Institute, Cleveland Clinic, Cleveland, OH, USA.
authors.forename: Ahmad B
authors.initials: AB
authors.lastname: Tarabishy
authors.forename: Thomas L
authors.initials: TL
authors.lastname: Steinemann
references.citation: Clin Infect Dis. 2003 Jan 1;36(1):53-9
references.pmid: 12491202
references.citation: N Engl J Med. 2005 Apr 7;352(14):1436-44
references.pmid: 15814879
references.citation: J Cataract Refract Surg. 1994 Jan;20(1):82-3
references.pmid: 8133488
references.citation: Am J Ophthalmol. 2003 Aug;136(2):300-5
references.pmid: 12888053
references.citation: Am J Ophthalmol. 2007 Aug;144(2):313-5
references.pmid: 17659970
references.citation: J Cataract Refract Surg. 2009 May;35(5):939-42
references.pmid: 19393897
references.citation: Br J Ophthalmol. 2007 Jun;91(6):728-30
references.pmid: 17510477
references.citation: CLAO J. 2002 Jul;28(3):109-10
references.pmid: 12144227
references.citation: J Cataract Refract Surg. 2005 Apr;31(4):735-41
references.pmid: 15899450
references.citation: J Cataract Refract Surg. 2008 May;34(5):814-8
references.pmid: 18471638
references.citation: N Engl J Med. 2006 Aug 17;355(7):666-74
references.pmid: 16914702
references.citation: JAMA. 2007 Oct 17;298(15):1763-71
references.pmid: 17940231
references.citation: J Cataract Refract Surg. 1999 May;25(5):725-7
references.pmid: 10330655
references.citation: Am J Ophthalmol. 2004 Mar;137(3):453-8
references.pmid: 15013867
references.citation: Retina. 2007 Jul-Aug;27(6):662-80
references.pmid: 17621174
references.citation: Am J Ophthalmol. 2008 Jun;145(6):951-958
references.pmid: 18374299