Suture-related keratitis following cataract surgery caused by methicillin-resistant Staphylococcus aureus.
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.
Tarabishy
Ahmad B
AB
Cole Eye Institute, Cleveland Clinic, Cleveland, OH, USA.
Steinemann
Thomas L
TL
Clin Infect Dis. 2003 Jan 1;36(1):53-9
12491202
N Engl J Med. 2005 Apr 7;352(14):1436-44
15814879
J Cataract Refract Surg. 1994 Jan;20(1):82-3
8133488
Am J Ophthalmol. 2003 Aug;136(2):300-5
12888053
Am J Ophthalmol. 2007 Aug;144(2):313-5
17659970
J Cataract Refract Surg. 2009 May;35(5):939-42
19393897
Br J Ophthalmol. 2007 Jun;91(6):728-30
17510477
CLAO J. 2002 Jul;28(3):109-10
12144227
J Cataract Refract Surg. 2005 Apr;31(4):735-41
15899450
J Cataract Refract Surg. 2008 May;34(5):814-8
18471638
N Engl J Med. 2006 Aug 17;355(7):666-74
16914702
JAMA. 2007 Oct 17;298(15):1763-71
17940231
J Cataract Refract Surg. 1999 May;25(5):725-7
10330655
Am J Ophthalmol. 2004 Mar;137(3):453-8
15013867
Retina. 2007 Jul-Aug;27(6):662-80
17621174
Am J Ophthalmol. 2008 Jun;145(6):951-958
18374299