Mycobacterium chelonei Keratopathy With Visual Rehabilitation by a Triple Procedure

Autor: Timothy L Lee, Rhoads E Stevens, Rex D Couch, Timothy B Crane, Robin Terui
Rok vydání: 1990
Předmět:
Zdroj: Ophthalmic Surgery, Lasers and Imaging Retina. 21:802-806
ISSN: 2325-8179
2325-8160
DOI: 10.3928/1542-8877-19901101-12
Popis: We report a chronic keratouveitis following an eye injury, the etiology of which remained obscure despite repeated corneal scrapings and cultures. Eventually, the diagnosis was established by culturing Mycobacterium chelonei from a corneal biopsy specimen. Topical amikacin resolved active inflammation, but dense corneal scarring and a cataract remained. Visual rehabilitation was achieved through a combined penetrating keratoplasty, extracapsular cataract extraction, and intraocular lens implantation. This case illustrates that there should be a high index of suspicion of atypical mycobacteria when faced with any unusual keratitis, particularly following penetrating injuries and corneal grafts.
Databáze: OpenAIRE