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Letter
Pseudomonas keratitis with satellite lesions: an unusual presentation
  1. S Chaurasia1,
  2. R Muralidhar1,
  3. S Das2,
  4. P K Vaddavalli1,
  5. P Garg1,
  6. U Gopinathan3
  1. 1Cornea Service, L V Prasad Eye Institute, Hyderabad, India
  2. 2Cornea Service, L V Prasad Eye Institute, Bhubaneswar, India
  3. 3Jhaveri Microbiology Center, L V Prasad Eye Institute, Hyderabad, India
  1. Correspondence to Sujata Das, Cornea & Anterior Segment Service, L V Prasad Eye Institute, Bhubaneswar, Orissa 751024, India; sujatadas{at}lvpei.org

http://dx.doi.org/10.1136/bjo.2009.172171

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    Keratitis caused by Pseudomonas spp is characterised by a rapidly progressive course, with suppurative infiltrate that results in the breakdown of collagen with subsequent melt and perforation.1 Satellite lesions, which are a characteristic of fungal keratitis,2 have not been described with this organism. We report three cases of culture proven Pseudomonas keratitis that presented with satellite lesions (figures 1 and 2).

    Figure 1

    Slit-lamp photograph (of the right eye) of patient 1 showing satellite lesions. The superior lesion was superficial; others are at a deeper level.

    Figure 2

    Slit-lamp photograph (of the right eye) of patient 2 showing multifocal lesions.

    All three patients presented with complaints of pain, redness, watering and decrease in vision (table 1). None of them were contact lens wearer. Slit-lamp biomicroscopic examination showed central epithelial defect associated with underlying stromal infiltrate. The surrounding cornea showed intense cellular reaction …

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    Footnotes

    • Funding Hyderabad Eye Research Foundation.

    • Competing interests None.

    • Provenance and peer review Not commissioned; externally peer reviewed.