The CLAO journal : official publication of the Contact Lens Association of Ophthalmologists, Inc · 2002
Recurrent methicillin-resistant Staphylococcus aureus wound ulcer after clear-cornea cataract surgery.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Chiang Robert K, Rapuano Christopher J
Аннотация
PURPOSE: To present a case of recurrent, methicillin-resistant Staphylococcus aureus (MRSA) wound ulcer after clear-cornea cataract surgery.
METHODS: Case report.
RESULTS: An 82-year-old man underwent an uncomplicated phacoemulsification procedure with posterior-chamber intraocular lens (PCIOL) implantation. Two weeks after surgery, a corneal ulcer was present at the wound site. Corneal tissue sample cultures produced methicillin-resistant Staphylococcus aureus. The ulcer responded to high-dose vancomycin but recurred twice as vancomycin was tapered. Lamellar keratectomy with conjunctival flap was performed at 6 months after surgery, with no additional ulcer recurrence.
CONCLUSIONS: Wound infection after clear-cornea cataract surgery occurs infrequently. Management of these infections, however, can provide challenging clinical decisions.
METHODS: Case report.
RESULTS: An 82-year-old man underwent an uncomplicated phacoemulsification procedure with posterior-chamber intraocular lens (PCIOL) implantation. Two weeks after surgery, a corneal ulcer was present at the wound site. Corneal tissue sample cultures produced methicillin-resistant Staphylococcus aureus. The ulcer responded to high-dose vancomycin but recurred twice as vancomycin was tapered. Lamellar keratectomy with conjunctival flap was performed at 6 months after surgery, with no additional ulcer recurrence.
CONCLUSIONS: Wound infection after clear-cornea cataract surgery occurs infrequently. Management of these infections, however, can provide challenging clinical decisions.
Предметные рубрики MeSH
AgedAged, 80 and overAnti-Bacterial AgentsConjunctivaCorneal UlcerEye Infections, BacterialHumansLens Implantation, IntraocularMaleMethicillin ResistancePhacoemulsificationPostoperative ComplicationsRecurrenceStaphylococcal InfectionsStaphylococcus aureusSurgical FlapsSurgical Wound InfectionTreatment OutcomeVancomycinVisual Acuity