title: Refractive outcome after severe Pseudomonas aeruginosa Keratitis.
abstract: A 15-year-old myopic female contact lens wearer developed severe central corneal keratitis in the left eye caused by Pseudomonas aeruginosa. A rapid diagnosis and treatment led to a satisfactory response, although a gray central corneal scar, hyperopia, and visual loss remained. No surgery was required after the infection resolved, and the patient was assessed annually. Sixty-four months later, the cornea was almost totally transparent and she had a visual acuity of 20/20. The results of the topographical examination were similar to those after a refractive ablative procedure. Satisfactory refractive outcome after severe Pseudomonas aeruginosa keratitis may occur in extraordinary cases.
authors.affiliation: Department of Ophthalmology, University Hospital Arnau de Vilanova, Lleida, Spain. vhuerva@gmail.com
authors.forename: Valentin
authors.initials: V
authors.lastname: Huerva
authors.forename: M Carmen
authors.initials: MC
authors.lastname: Sanchez
mesh_terms: D000287:Administration, Topical; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D002442:Ceftazidime / Q000008:administration & dosage; D015818:Eye Infections, Bacterial; D005260:Female; D006801:Humans; D007275:Injections, Intravenous; D007634:Keratitis / Q000382:microbiology* / Q000473:pathology / Q000503:physiopathology*; D011552:Pseudomonas Infections / Q000188:drug therapy; D011550:Pseudomonas aeruginosa; D012029:Refraction, Ocular; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014640:Vancomycin / Q000008:administration & dosage; D014792:Visual Acuity; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents; D014640:Vancomycin; D002442:Ceftazidime