Abstract | PURPOSE: To report a novel case of infectious crystalline keratopathy after penetrating keratoplasty caused by Gemella haemolysans. METHODS: Observational case report. Patient notes and literature review. RESULTS: A 51-year-old woman presented with the clinical picture of infectious crystalline keratopathy 18 months after a second penetrating keratoplasty was performed for corneal decompensation secondary to recurrent herpes simplex infection. Corneal biopsy yielded a heavy growth of G. haemolysans. Initial treatment was made up of frequent topical vancomycin 0.5% and was later changed to topical cefuroxime 5% and ofloxacin 0.3%. Snellen visual acuity after complete resolution of the keratitis was 6/60 as a result of a residual corneal scar. CONCLUSIONS: Gemella haemolysans may be an etiologic agent in infectious crystalline keratopathy. A corneal biopsy may be diagnostic but may also promote healing by allowing direct access of antibiotics to deep-seated infected tissue and by altering the growth environment of the organism.
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Authors | Anusha Kailasanathan, David F Anderson |
Journal | Cornea
(Cornea)
Vol. 26
Issue 5
Pg. 643-4
(Jun 2007)
ISSN: 0277-3740 [Print] United States |
PMID | 17525671
(Publication Type: Case Reports, Journal Article)
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Chemical References |
- Anti-Bacterial Agents
- Ofloxacin
- Cefuroxime
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Topics |
- Anti-Bacterial Agents
(therapeutic use)
- Cefuroxime
(therapeutic use)
- Colony Count, Microbial
- Corneal Diseases
(diagnosis, drug therapy, microbiology)
- Drug Therapy, Combination
- Eye Infections, Bacterial
(diagnosis, drug therapy, microbiology)
- Female
- Gram-Positive Bacterial Infections
(diagnosis, drug therapy, microbiology)
- Humans
- Microbial Sensitivity Tests
- Middle Aged
- Ofloxacin
(therapeutic use)
- Staphylococcaceae
(drug effects, isolation & purification)
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