Nascimento Heloisa Moraes do, Oliveira Lauro Augusto de, Höfling-Lima Ana Luisa
Universidade Federal de São Paulo, SP, Brazil.
Arq Bras Oftalmol. 2011 Mar-Apr;74(2):127-9. doi: 10.1590/s0004-27492011000200012.
Description of two cases of infectious keratitis in patients after Boston Type 1 keratoprosthesis (Boston KPro) implantation. The first case refers to a patient that had the device indicated due to limbal deficiency secondary to severe dry eye who presented a fungal infection by Aerobasidium pullulans that was successfully treated with amphotericin B eye drops. The second case reports a patient with Boston KPro implantation due to previous corneal transplant rejection showing bacterial keratitis in the fourth postoperative month. The etiologic agent was identified as Streptococcus sp and topical treatment with vancomycin was effective. The importance of postoperative surveillance in Boston KPro eyes is discussed.
波士顿1型人工角膜（Boston KPro）植入术后两例感染性角膜炎患者的病例描述。第一例患者因严重干眼症继发角膜缘缺陷而植入该装置，出现了普鲁兰气单胞菌真菌感染，用两性霉素B滴眼液成功治疗。第二例报告了一名因先前角膜移植排斥反应而植入Boston KPro的患者，在术后第四个月出现细菌性角膜炎。病原体鉴定为链球菌属，用万古霉素局部治疗有效。讨论了对植入Boston KPro眼睛进行术后监测的重要性。
