Martinez Jaime D, Amescua Guillermo, Lozano-Cárdenas Jesus, Suh Leejee H
Asociación Para Evitar la Ceguera, No. 46 Vicente García Torres, Delegación Coyoacán, 04030 México City, Mexico.
Bascom Palmer Eye Institute, 900 N.W. 17th Street, Miami, FL 33136, USA.
Case Rep Ophthalmol Med. 2017;2017:6413160. doi: 10.1155/2017/6413160. Epub 2017 Nov 6.
The purpose of this manuscript is to report the case of an 81-year-old patient who presented with bilateral keratitis after phacoemulsification surgery. Cultures came back positive for . Despite aggressive topical and systemic antimicrobial treatment, the patient developed a corneal perforation in both eyes, treated with corneal glue in the right eye and corneoscleral patch in the left eye. After two years of follow-up, patient was free of infection in the right eye with visual acuity of 20/200 and the left eye progressed to phthisis bulbi. We present an unusual case of bilateral keratitis associated with phacoemulsification cataract surgery. This case represents the importance of making clinicians aware of this devastating infection and highlights the need for better management to improve outcomes.
本手稿的目的是报告一例81岁患者在白内障超声乳化手术后出现双侧角膜炎的病例。培养结果显示……呈阳性。尽管进行了积极的局部和全身抗菌治疗，但患者双眼仍发生角膜穿孔，右眼采用角膜胶治疗，左眼采用角巩膜补片治疗。经过两年的随访，右眼无感染，视力为20/200，左眼发展为眼球痨。我们报告了一例与白内障超声乳化手术相关的双侧角膜炎罕见病例。该病例表明让临床医生认识到这种毁灭性感染的重要性，并强调需要更好的管理以改善治疗结果。
