Corneal Collagen Cross-linking for Corneal Ulcer from Moraxella Group
Journal of the Korean Ophthalmological Society
; : 200-204, 2020.
Article
em Ko
| WPRIM
| ID: wpr-811322
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE: To report a case of corneal collagen cross-linking for corneal ulcer caused by the Moraxella group.CASE SUMMARY: A 77-year-old male had decreased visual acuity for several days in his right eye. The patient showed severe stromal ring infiltrates with a corneal epithelial defect measuring (5.0 × 7.0 mm), a corneal endothelial plaque, and a hypopyon measuring less than 1.0 mm in height in the anterior chamber of the right eye. There was no abnormal finding in the right eye using B-scan ultrasonography. Before starting treatment, a corneal culture was conducted. The culture tests showed the presence of the Moraxella group. Because the patient was diagnosed with a corneal ulcer caused by the Moraxella group, corneal collagen cross-linking (CXL) was performed. The antimicrobial susceptibility test confirmed that this Moraxella group was sensitive to ceftazidime, so the patient was treated with 5% ceftazidime eye drops and 0.5% moxifloxacin eye drops every 2 hours for 9 months after corneal collagen CXL. The uncorrected visual acuity was 0.1 in the right eye, and there was almost no corneal stromal melting on anterior segment optical coherence tomography.CONCLUSIONS: This is the first known case of a corneal ulcer, in the Republic of Korea, caused by the Moraxella group and treated with corneal collagen CXL. Corneal collagen CXL should be considered as a surgical treatment for patients who have an impending corneal perforation due to a corneal ulcer because it is a simple procedure and causes fewer serious complications than other treatments.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Soluções Oftálmicas
/
Acuidade Visual
/
Ceftazidima
/
Úlcera da Córnea
/
Ultrassonografia
/
Colágeno
/
Córnea
/
Tomografia de Coerência Óptica
/
Perfuração da Córnea
/
República da Coreia
Tipo de estudo:
Diagnostic_studies
Limite:
Aged
/
Humans
/
Male
País/Região como assunto:
Asia
Idioma:
Ko
Revista:
Journal of the Korean Ophthalmological Society
Ano de publicação:
2020
Tipo de documento:
Article