Acute Staphylococcus aureus wound infection after temporal clear corneal phacoemulsification

Wong, Vivian K.; Lai, Timothy Y. Y.; Lam, Philip T H; Lam, Dennis S C

doi:10.1038/sj.eye.6701836

Cited by 2 publications

(2 citation statements)

References 3 publications

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“…10 Corneal wound infection is an infrequent complication of cataract surgery. 3,5 Etiologic agents in cataract wound infection include gram-negative bacteria, fungi, and MRSA, in addition to organisms frequently implicated in postoperative endophthalmitis. 3,4,6 Nontuberculous mycobacterial organisms may cause atypical cataract wound infections and have demonstrated susceptibility to amikacin.…”

Section: Discussionmentioning

confidence: 99%

“…2 Cataract wound infection is a rare complication of clear corneal cataract surgery, presenting days to weeks postoperatively. [3][4][5] Possible risk factors for cataract wound infection include diabetes mellitus, wound defects, and disruption of the posterior capsule. 4,6 Most cases are limited to the anterior chamber and resolve with topical antimicrobial therapy although progression to endophthalmitis may occur.…”

mentioning

confidence: 99%

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Cataract wound infection and endophthalmitis treated with partial conjunctival pedicle flap and pars plana vitrectomy

Rohowetz,

Hudson,

Sayed-Ahmed

et al. 2023

JCRS Online Case Rep

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Introduction: Corneal wound infection is an infrequent complication of cataract surgery that can progress to endophthalmitis. Surgical treatment of endophthalmitis associated with microbial keratitis traditionally involves therapeutic penetrating keratoplasty and pars plana vitrectomy (PPV). In this case report, we describe a patient with cataract wound infection and endophthalmitis treated with PPV and partial conjunctival pedicle flap surgery. Patient and Clinical Findings: A 74-year-old female patient complained of eye pain and decreased corrected distance visual acuity (CDVA) to 2/200 4 weeks after cataract surgery in the left eye. Examination revealed an infiltrate overlying her cataract wound with posterior segment inflammation consistent with endophthalmitis. Diagnosis, Intervention, and Outcomes: Vitreous culture revealed methicillin-resistant Staphylococcus aureus. The patient was initially treated with topical and intravitreal antibiotics but demonstrated signs of disease progression, so the patient underwent PPV with partial conjunctival pedicle flap surgery. One month postoperatively, CDVA was 20/80 with resolution of the infection and no evidence of recurrence at 6 months. Conclusions: In conjunction with PPV, conjunctival flap surgery may be an effective alternative to therapeutic penetrating keratoplasty in patients with cataract wound-associated microbial keratitis and endophthalmitis.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Cataract wound infection and endophthalmitis treated with partial conjunctival pedicle flap and pars plana vitrectomy

Rohowetz,

Hudson,

Sayed-Ahmed

et al. 2023

JCRS Online Case Rep

View full text Add to dashboard Cite

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Role of intrastromal vancomycin in recalcitrant corneal abscess after phacoemulsification

et al. 2021

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Side port infection and corneal abscess after cataract surgery can produce devastating outcomes. Topical antibacterial drugs are the mainstay in management of these cases. Although intrastromal antifungal agents are an established modality for fungal keratitis, such use of antibacterial agents is rarely reported due to better pharmacokinetic profile of antibacterial agents.We report a case of methicillin-resistant Staphylococcus aureus corneal abscess following phacoemulsification that responded to intrastromal vancomycin injection in addition to conventional therapy.This case of postphacoemulsification corneal abscess highlights the importance of postoperative hygiene practices, use of anterior segment optical coherence tomography for monitoring these patients and use of intrastromal vancomycin as an adjunct to topical and systemic therapy.

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Acute Staphylococcus aureus wound infection after temporal clear corneal phacoemulsification

Cited by 2 publications

References 3 publications

Cataract wound infection and endophthalmitis treated with partial conjunctival pedicle flap and pars plana vitrectomy

Cataract wound infection and endophthalmitis treated with partial conjunctival pedicle flap and pars plana vitrectomy

Role of intrastromal vancomycin in recalcitrant corneal abscess after phacoemulsification

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