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Chronic Ocular Hypertension after Treated Multifocal Bacterial Keratitis
PURPOSE: To report an unusual case of multifocal bacterial keratitis that despite success-ful treatment caused chronic ocular hypertension. METHODS: A 67-year-old woman with unilateral multifocal keratitis and no previous ocular pathology was admitted to our hospital. Corneal scrapings and conjuncti...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
S. Karger AG
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3604868/ https://www.ncbi.nlm.nih.gov/pubmed/23525505 http://dx.doi.org/10.1159/000348291 |
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author | Papadopoulos, Theodoros Athanassios Vrouva, Georgia Bafa, Maria Paterakis, Nikolaos Chounta, Maria |
author_facet | Papadopoulos, Theodoros Athanassios Vrouva, Georgia Bafa, Maria Paterakis, Nikolaos Chounta, Maria |
author_sort | Papadopoulos, Theodoros Athanassios |
collection | PubMed |
description | PURPOSE: To report an unusual case of multifocal bacterial keratitis that despite success-ful treatment caused chronic ocular hypertension. METHODS: A 67-year-old woman with unilateral multifocal keratitis and no previous ocular pathology was admitted to our hospital. Corneal scrapings and conjunctival samples were obtained for culture and the patient received intensive therapy with fortified vancomycin and tobramycin eye drops. RESULTS: The cultures demonstrated two strains of Staphylococcus epidermidis, one resistant to ciprofloxacin and both sensitive to vancomycin. Treatment was effective and gradually discontinued after total cessation of the inflammatory activity. During the follow-up period, the patient developed late and persistent ocular hypertension of unknown etiology, in absence of any detectable inflammation or complication, and received permanent antiglaucoma therapy. CONCLUSION: Differential diagnosis between fungal and bacterial infection is critical in cases of multifocal keratitis. Patients with multifocal bacterial keratitis may need intraocular pressure monitoring, even after complete infection healing. |
format | Online Article Text |
id | pubmed-3604868 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | S. Karger AG |
record_format | MEDLINE/PubMed |
spelling | pubmed-36048682013-03-22 Chronic Ocular Hypertension after Treated Multifocal Bacterial Keratitis Papadopoulos, Theodoros Athanassios Vrouva, Georgia Bafa, Maria Paterakis, Nikolaos Chounta, Maria Case Rep Ophthalmol Published online: February, 2013 PURPOSE: To report an unusual case of multifocal bacterial keratitis that despite success-ful treatment caused chronic ocular hypertension. METHODS: A 67-year-old woman with unilateral multifocal keratitis and no previous ocular pathology was admitted to our hospital. Corneal scrapings and conjunctival samples were obtained for culture and the patient received intensive therapy with fortified vancomycin and tobramycin eye drops. RESULTS: The cultures demonstrated two strains of Staphylococcus epidermidis, one resistant to ciprofloxacin and both sensitive to vancomycin. Treatment was effective and gradually discontinued after total cessation of the inflammatory activity. During the follow-up period, the patient developed late and persistent ocular hypertension of unknown etiology, in absence of any detectable inflammation or complication, and received permanent antiglaucoma therapy. CONCLUSION: Differential diagnosis between fungal and bacterial infection is critical in cases of multifocal keratitis. Patients with multifocal bacterial keratitis may need intraocular pressure monitoring, even after complete infection healing. S. Karger AG 2013-02-25 /pmc/articles/PMC3604868/ /pubmed/23525505 http://dx.doi.org/10.1159/000348291 Text en Copyright © 2013 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial-No-Derivative-Works License (http://creativecommons.org/licenses/by-nc-nd/3.0/). Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on http://www.karger.com and the terms of this license are included in any shared versions. |
spellingShingle | Published online: February, 2013 Papadopoulos, Theodoros Athanassios Vrouva, Georgia Bafa, Maria Paterakis, Nikolaos Chounta, Maria Chronic Ocular Hypertension after Treated Multifocal Bacterial Keratitis |
title | Chronic Ocular Hypertension after Treated Multifocal Bacterial Keratitis |
title_full | Chronic Ocular Hypertension after Treated Multifocal Bacterial Keratitis |
title_fullStr | Chronic Ocular Hypertension after Treated Multifocal Bacterial Keratitis |
title_full_unstemmed | Chronic Ocular Hypertension after Treated Multifocal Bacterial Keratitis |
title_short | Chronic Ocular Hypertension after Treated Multifocal Bacterial Keratitis |
title_sort | chronic ocular hypertension after treated multifocal bacterial keratitis |
topic | Published online: February, 2013 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3604868/ https://www.ncbi.nlm.nih.gov/pubmed/23525505 http://dx.doi.org/10.1159/000348291 |
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