Case Report
Bilateral Mycobacterium chelonae Keratitis after Phacoemulsification Cataract Surgery
Table 1
Summary of case report patient with Mycobacterium chelonae keratitis after cataract surgery.
| | Age (y)/sex | Procedure/eye | Culture results | Onset of signs and symptoms | Initial treatment | Culture yielded from and in vitro sensitivity | Postculture treatment | Steroid use | Surgical intervention/time from presentation | Final BCVA
(Comment) |
| | 81 M | PHACO/PCIOL
OU | M. chelonae | 1 mo | Tobramycin dexamethasone and gatifloxacin 0.4% topical | Corneal scrape; sensitive: amikacin, moxifloxacin, clarithromycin resistance: ciprofloxacin, doxycycline, tobramycin | Clarithromycin 1% topical
Amikacin (8 mg/ml) topical
And gatifloxacin 0.4% topical | Yes
Topical | Corneal scleral Patch
OS (1 mo)
PK OS (11 mo) | OD: 20/200
OS NLP;
2 y F/U
OD infection free
OS failed corneal graft and TRD |
|
|
mo: months; y: years; M: male; PHACO: phacoemulsification; PCIOL: posterior chamber intraocular lens implantation; PK: penetrating keratoplasty; TRD: total retinal detachment; NLP: no light perception; bold letters: bad outcome.
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