Gibran S Khurshid1, Gerry T Fahy. 1. Department of Ophthalmology, University College Hospital, Galway, Ireland. syedgibran@yahoo.com
Abstract
PURPOSE: To describe 5 cases of endophthalmitis secondary to corneal sutures. SETTING: Department of Ophthalmology, University College Hospital, Galway, Ireland. METHODS: A retrospective review was done of 5 patients who presented over a period of 19 months with suture-related bacterial keratitis that progressed to endophthalmitis. Intravitreal antibiotics were used to control the infection. RESULTS: Despite intensive topical broad-spectrum antibiotic treatment for suture-related infective keratitis, the infection progressed to endophthalmitis in all 5 patients. Intravitreal antibiotics resolved the infection. CONCLUSIONS: Corneal sutures are a risk factor for infective keratitis irrespective of their site. Suture-related keratitis may progress rapidly to endophthalmitis despite intensive topical antibiotics. Intravitreal antibiotics are indicated when endophthalmitis is present.
PURPOSE: To describe 5 cases of endophthalmitis secondary to corneal sutures. SETTING: Department of Ophthalmology, University College Hospital, Galway, Ireland. METHODS: A retrospective review was done of 5 patients who presented over a period of 19 months with suture-related bacterial keratitis that progressed to endophthalmitis. Intravitreal antibiotics were used to control the infection. RESULTS: Despite intensive topical broad-spectrum antibiotic treatment for suture-related infective keratitis, the infection progressed to endophthalmitis in all 5 patients. Intravitreal antibiotics resolved the infection. CONCLUSIONS: Corneal sutures are a risk factor for infective keratitis irrespective of their site. Suture-related keratitis may progress rapidly to endophthalmitis despite intensive topical antibiotics. Intravitreal antibiotics are indicated when endophthalmitis is present.
Authors: Evelyn C O'Neill; Jonathan Yeoh; David C A Fabinyi; Dermot Cassidy; Rasik B Vajpayee; Penelope Allen; Paul P Connell Journal: Graefes Arch Clin Exp Ophthalmol Date: 2014-07-17 Impact factor: 3.117
Authors: Christopher R Henry; Harry W Flynn; Darlene Miller; Amy C Schefler; Richard K Forster; Eduardo C Alfonso Journal: J Ophthalmic Inflamm Infect Date: 2013-06-11