A case of keratitis associated with limbal relaxing incision

We report a case of keratitis associated with limbal relaxing incision (LRI). The patient presented with progressive loss of vision with best-corrected visual acuity 20/40. Immature cataract with 1.43D against the rule astigmatism was noted. Prophylactic topical antibiotic was administered before su...

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Veröffentlicht in:	Indian journal of ophthalmology 2016-12, Vol.64 (12), p.936-937
Hauptverfasser:	Haripriya, Aravind, Smita, Anand
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Anti-Bacterial Agents - therapeutic use Brief Communications Care and treatment Complications and side effects Corneal Topography Development and progression Eye Infections, Bacterial - diagnosis Eye Infections, Bacterial - drug therapy Eye Infections, Bacterial - etiology Eye surgery Humans Keratitis Keratitis - diagnosis Keratitis - drug therapy Keratitis - etiology limbal relaxing incision Limbus Corneae - microbiology Limbus Corneae - pathology Limbus Corneae - surgery Male phacoemulsification Phacoemulsification - adverse effects Staphylococcal Infections - diagnosis Staphylococcal Infections - drug therapy Staphylococcal Infections - etiology Staphylococcus aureus - isolation & purification Surgical Wound Infection - diagnosis Surgical Wound Infection - drug therapy Surgical Wound Infection - etiology
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Zusammenfassung:	We report a case of keratitis associated with limbal relaxing incision (LRI). The patient presented with progressive loss of vision with best-corrected visual acuity 20/40. Immature cataract with 1.43D against the rule astigmatism was noted. Prophylactic topical antibiotic was administered before surgery. He underwent uneventful phacoemulsification with intraocular lens implantation with LRI. On the 33rd postoperative day (POD), he presented with infiltrate along LRI site with mild iritis. Corneal scraping was positive for Staphylococcus aureus. After the treatment with topical moxifloxacin and fortified cefazolin, the infiltrate started to resolve. On the 50th POD, the corneal infection was resolved with marked thinning at LRI site.
ISSN:	0301-4738 1998-3689
DOI:	10.4103/0301-4738.198862