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Pseudomonas aeruginosa Scleritis following Pterygium Surgery with Mitomycin C or Beta Irradiation: Three-Case Report

PURPOSE: To report three cases of culture-positive Pseudomonas aeruginosa scleritis following pterygium surgery. Patients and Methods. A retrospective study of all patients of Pseudomonas aeruginosa scleritis after pterygium surgery presented from May 2017 to May 2020 was performed. Patient demograp...

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Autores principales: Chaidaroon, Winai, Ausayakhun, Somsanguan, Tananuvat, Napaporn, Upaphong, Phit, Thabsuwan, Kittipong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9098351/
https://www.ncbi.nlm.nih.gov/pubmed/35572053
http://dx.doi.org/10.1155/2022/8000944
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author Chaidaroon, Winai
Ausayakhun, Somsanguan
Tananuvat, Napaporn
Upaphong, Phit
Thabsuwan, Kittipong
author_facet Chaidaroon, Winai
Ausayakhun, Somsanguan
Tananuvat, Napaporn
Upaphong, Phit
Thabsuwan, Kittipong
author_sort Chaidaroon, Winai
collection PubMed
description PURPOSE: To report three cases of culture-positive Pseudomonas aeruginosa scleritis following pterygium surgery. Patients and Methods. A retrospective study of all patients of Pseudomonas aeruginosa scleritis after pterygium surgery presented from May 2017 to May 2020 was performed. Patient demographics and clinical characteristics included age, gender, time between prior surgery and onset, adjunctive therapy, risk factors, initial visual acuity, final visual acuity, clinical features, medical treatment, and surgical intervention were analyzed. RESULTS: Three eyes of three patients with clinical characteristics and laboratory-confirmed Pseudomonas aeruginosa scleritis were identified. Two patients were related with mitomycin C application after pterygium surgery, and only one had beta irradiation. Antibiotic administration and scleral debridement were required in 3 patients. One eye was enucleated. Final visual outcomes of two patients were improved. CONCLUSIONS: Pseudomonas aeruginosa scleritis after pterygium surgery is a crucial ophthalmic disease. An early diagnosis with a prompt intensive antibiotic treatment in combination with surgical interventions may improve visual outcome.
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spelling pubmed-90983512022-05-13 Pseudomonas aeruginosa Scleritis following Pterygium Surgery with Mitomycin C or Beta Irradiation: Three-Case Report Chaidaroon, Winai Ausayakhun, Somsanguan Tananuvat, Napaporn Upaphong, Phit Thabsuwan, Kittipong Case Rep Ophthalmol Med Case Report PURPOSE: To report three cases of culture-positive Pseudomonas aeruginosa scleritis following pterygium surgery. Patients and Methods. A retrospective study of all patients of Pseudomonas aeruginosa scleritis after pterygium surgery presented from May 2017 to May 2020 was performed. Patient demographics and clinical characteristics included age, gender, time between prior surgery and onset, adjunctive therapy, risk factors, initial visual acuity, final visual acuity, clinical features, medical treatment, and surgical intervention were analyzed. RESULTS: Three eyes of three patients with clinical characteristics and laboratory-confirmed Pseudomonas aeruginosa scleritis were identified. Two patients were related with mitomycin C application after pterygium surgery, and only one had beta irradiation. Antibiotic administration and scleral debridement were required in 3 patients. One eye was enucleated. Final visual outcomes of two patients were improved. CONCLUSIONS: Pseudomonas aeruginosa scleritis after pterygium surgery is a crucial ophthalmic disease. An early diagnosis with a prompt intensive antibiotic treatment in combination with surgical interventions may improve visual outcome. Hindawi 2022-05-05 /pmc/articles/PMC9098351/ /pubmed/35572053 http://dx.doi.org/10.1155/2022/8000944 Text en Copyright © 2022 Winai Chaidaroon et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Chaidaroon, Winai
Ausayakhun, Somsanguan
Tananuvat, Napaporn
Upaphong, Phit
Thabsuwan, Kittipong
Pseudomonas aeruginosa Scleritis following Pterygium Surgery with Mitomycin C or Beta Irradiation: Three-Case Report
title Pseudomonas aeruginosa Scleritis following Pterygium Surgery with Mitomycin C or Beta Irradiation: Three-Case Report
title_full Pseudomonas aeruginosa Scleritis following Pterygium Surgery with Mitomycin C or Beta Irradiation: Three-Case Report
title_fullStr Pseudomonas aeruginosa Scleritis following Pterygium Surgery with Mitomycin C or Beta Irradiation: Three-Case Report
title_full_unstemmed Pseudomonas aeruginosa Scleritis following Pterygium Surgery with Mitomycin C or Beta Irradiation: Three-Case Report
title_short Pseudomonas aeruginosa Scleritis following Pterygium Surgery with Mitomycin C or Beta Irradiation: Three-Case Report
title_sort pseudomonas aeruginosa scleritis following pterygium surgery with mitomycin c or beta irradiation: three-case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9098351/
https://www.ncbi.nlm.nih.gov/pubmed/35572053
http://dx.doi.org/10.1155/2022/8000944
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