Abstract
We report a case of bacterial keratitis that occurred after implantation of intrastromal corneal ring segments (Intacs). The patient presented with decreased vision, inflammation, and stromal infiltrates localized at the extremity of an Intacs channel 3 months after surgery. Culture were positive for Clostridium perfringens and Staphylococcus epidermidis. The infiltrates progressed despite treatment with topical fortified and systemic antibiotics. The Intacs were removed. The keratitis slowly resolved, and the patient recovered a best corrected visual acuity of 20/20.
MeSH terms
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Adult
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Clostridium Infections / diagnosis
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Clostridium Infections / drug therapy
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Clostridium Infections / etiology*
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Clostridium perfringens / isolation & purification
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Cornea / microbiology
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Corneal Stroma / surgery*
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Device Removal
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Drug Therapy, Combination / therapeutic use
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Eye Infections, Bacterial / diagnosis
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Eye Infections, Bacterial / drug therapy
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Eye Infections, Bacterial / etiology*
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Female
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Gentamicins / therapeutic use
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Humans
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Keratitis / diagnosis
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Keratitis / drug therapy
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Keratitis / microbiology*
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Prostheses and Implants
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Prosthesis Implantation / adverse effects*
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Rifamycins / therapeutic use
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Staphylococcal Infections / diagnosis
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Staphylococcal Infections / drug therapy
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Staphylococcal Infections / etiology*
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Staphylococcus epidermidis / isolation & purification
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Ticarcillin / therapeutic use
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Vancomycin / therapeutic use
Substances
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Gentamicins
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Rifamycins
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Vancomycin
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Ticarcillin