Profile of Microbial Keratitis after Corneal Collagen Cross-Linking
Joint Authors
Shetty, Rohit
Kaweri, Luci
Nuijts, Rudy M. M. A.
Nagaraja, Harsha
Arora, Vishal
Kumar, Rajesh S.
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-09-11
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Purpose.
To report the profile of microbial keratitis occurring after corneal collagen cross-linking (CXL) in keratoconus patients.
Methods.
A retrospective analysis of 2350 patients (1715 conventional CXL, 310 transepithelial CXL, and 325 accelerated CXL) over 7 years (from January 2007 to January 2014) of progressive keratoconus, who underwent CXL at a tertiary eye care centre, was performed.
Clinical findings, treatment, and course of disease of four eyes that developed postprocedural moxifloxacin resistant Staphylococcus aureus (MXRSA) infectious keratitis are highlighted.
Results.
Four eyes that underwent CXL (0.0017%) had corneal infiltrates.
All eyes that developed keratitis had conventional CXL.
Corneal infiltrates were noted on the third postoperative day.
Gram’s stain as well as culture reported MXRSA as the causative agent in all cases.
Polymerase chain reaction (PCR) in each case was positive for eubacterial genome.
All patients were treated with fortified antibiotic eye drops, following which keratitis resolved over a 6-week period with scarring.
All these patients were on long-term preoperative oral/topical steroids for chronic disorders (chronic vernal keratoconjunctivitis, bronchial asthma, and chronic eczema).
Conclusion.
The incidence of infectious keratitis after CXL is a rare complication (0.0017%).
MXRSA is a potential organism for causing post-CXL keratitis and should be identified early and treated aggressively with fortified antibiotics.
American Psychological Association (APA)
Shetty, Rohit& Kaweri, Luci& Nuijts, Rudy M. M. A.& Nagaraja, Harsha& Arora, Vishal& Kumar, Rajesh S.. 2014. Profile of Microbial Keratitis after Corneal Collagen Cross-Linking. BioMed Research International،Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-1016234
Modern Language Association (MLA)
Shetty, Rohit…[et al.]. Profile of Microbial Keratitis after Corneal Collagen Cross-Linking. BioMed Research International No. 2014 (2014), pp.1-7.
https://search.emarefa.net/detail/BIM-1016234
American Medical Association (AMA)
Shetty, Rohit& Kaweri, Luci& Nuijts, Rudy M. M. A.& Nagaraja, Harsha& Arora, Vishal& Kumar, Rajesh S.. Profile of Microbial Keratitis after Corneal Collagen Cross-Linking. BioMed Research International. 2014. Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-1016234
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1016234