Abstract | PURPOSE: DESIGN: Interventional case series. METHODS: RESULTS: Thirteen eyes of 12 patients, nine of whom were either healthcare workers or exposed to a hospital surgical setting, developed MRSA keratitis following refractive surgery. All patients presented with a decrease in visual acuity and complaints of pain or irritation in the affected eye. Common signs on slit-lamp biomicroscopy were corneal epithelial defects, focal infiltrates with surrounding edema, conjunctival injection, purulent discharge, and hypopyon. All patients were diagnosed with infectious keratitis on presentation and treated with two antibiotics. All eyes were culture-positive for MRSA. CONCLUSIONS:
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Authors | Renée Solomon, Eric D Donnenfeld, Henry D Perry, Roy S Rubinfeld, Michael Ehrenhaus, John R Wittpenn Jr, Kerry D Solomon, Edward E Manche, Majid Moshirfar, Dennis C Matzkin, Reza M Mozayeni, Robert K Maloney |
Journal | American journal of ophthalmology
(Am J Ophthalmol)
Vol. 143
Issue 4
Pg. 629-34
(Apr 2007)
ISSN: 0002-9394 [Print] United States |
PMID | 17320811
(Publication Type: Case Reports, Journal Article, Multicenter Study)
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Chemical References |
- Vancomycin
- Ofloxacin
- Methicillin
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Topics |
- Adult
- Corneal Ulcer
(diagnosis, drug therapy, microbiology)
- Drug Therapy, Combination
- Eye Infections, Bacterial
(diagnosis, drug therapy, microbiology)
- Female
- Health Personnel
- Humans
- Keratomileusis, Laser In Situ
- Lasers, Excimer
- Male
- Methicillin
(pharmacology)
- Methicillin Resistance
- Middle Aged
- Ofloxacin
(therapeutic use)
- Photorefractive Keratectomy
- Postoperative Complications
- Refractive Surgical Procedures
- Retrospective Studies
- Risk Factors
- Staphylococcal Infections
(diagnosis, drug therapy, microbiology)
- Staphylococcus aureus
(drug effects, isolation & purification)
- Surgical Flaps
(microbiology)
- Vancomycin
(therapeutic use)
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