Pollhammer Matthias, Cursiefen Claus
Department of Ophthalmology, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen, Germany.
J Cataract Refract Surg. 2009 Mar;35(3):588-9. doi: 10.1016/j.jcrs.2008.09.029.
We report a case of bacterial keratitis 3 days after corneal crosslinking for keratoconus. The patient complained of increasing pain and redness combined with blurred vision in the treated eye starting on the first postoperative day. Clinical examination showed multiple stromal infiltrations and moderate anterior chamber inflammation. Corneal scraping revealed an Escherichia coli infection, which was successfully treated with fortified tobramycin and cephazolin eyedrops for several weeks. This is the first report of a case of rare postoperative complication resulted in an avascularized corneal scar and permanent reduction of the visual acuity.
我们报告一例圆锥角膜患者在角膜交联术后3天发生细菌性角膜炎的病例。患者术后第一天开始出现术眼疼痛加剧、眼红并伴有视力模糊。临床检查发现多处基质浸润和中度前房炎症。角膜刮片显示为大肠杆菌感染，通过使用强化妥布霉素和头孢唑啉滴眼液治疗数周后感染得到成功控制。这是首例关于罕见术后并发症导致无血管化角膜瘢痕和视力永久性下降的病例报告。
