Methicillin-Resistant Staphylococcus aureus Acute Keratitis After Intracorneal Ring Segment Implantation.

Ophthalmol Ther

Department of Cornea and Ocular Surface, Centro de Oftalmología Barraquer, Barcelona, Spain.

Published: December 2017

Introduction: The purpose of this study was to report the first case of acute bacterial keratitis produced by methicillin-resistant Staphylococcus aureus after the implantation of two intracorneal ring segments during an uneventful procedure for treating keratoconus in a 13-year-old child.

Case Report: A patient with grade III keratoconus underwent an implantation of intracorneal ring segments with no complications during the procedure. Three days later, a whitish corneal infiltrate appeared in between the union of both corneal rings. Sample cultures were positive for methicillin-resistant S. aureus (MRSA). Corneal infiltrate did not improve despite intensive topical and systemic antibiotics. Melting appeared even after the explantation of both corneal rings. Keratoplasty à chaud had to be performed to preserve the eye integrity.

Conclusions: MRSA keratitis following intracorneal ring segment implantation is a rare but severe complication that can lead to a therapeutic penetrating keratoplasty to definitely cure the process.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5693820PMC
http://dx.doi.org/10.1007/s40123-017-0103-9DOI Listing

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