Department of Ophthalmology and Vision Sciences, The Hospital for Sick Children; Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada.
Department of Ophthalmology and Vision Sciences, The Hospital for Sick Children; Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada.
J AAPOS. 2021 Apr;25(2):131-134. doi: 10.1016/j.jaapos.2020.12.002. Epub 2021 Mar 6.
We report the case of an 11-year-old boy known to have atopic dermatitis who was referred for management of allergic conjunctivitis, meibomian gland dysfunction, and anterior blepharitis. After achieving quiescence of these ophthalmic manifestations, he was lost to follow-up and subsequently presented with bilateral keratoconus. He developed bilateral keratitis with methicillin-resistant Staphylococcus aureus (MRSA) 1 week after corneal cross-linking. Children with underlying atopic dermatitis are more likely to harbor MRSA on their eyelid margins and conjunctival sacs and are therefore at higher risk of postoperative infection. Prevention and treatment measures, such as preoperative screening and the use of appropriate perioperative antibiotics against MRSA should always be considered in this population.
我们报告了一例患有特应性皮炎的 11 岁男孩，他因过敏性结膜炎、睑板腺功能障碍和前睑炎就诊。在这些眼部表现得到控制后，他失去了随访，随后出现双侧圆锥角膜。角膜交联术后 1 周，他出现双侧角膜炎症合并耐甲氧西林金黄色葡萄球菌（MRSA）感染。患有特应性皮炎的儿童其眼睑边缘和结膜囊中更有可能存在 MRSA，因此术后感染的风险更高。对于这类人群，应始终考虑采取预防和治疗措施，如术前筛查和使用针对 MRSA 的适当围手术期抗生素。
