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10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

This Meeting has been awarded 27 CME credits

 

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Three years study of the microbial profile and clinical characteristic of infectious keratitis presented to a tertiary cornea unit in Abu Dhabi UAE

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Session Details

Session Title: Presented Poster Session: Endophthalmitis/Ocular Infections

Session Date/Time: Monday 12/09/2016 | 15:00-16:30

Paper Time: 16:10

Venue: Poster Village: Pod 3

First Author: : A.Taguri UNITED ARAB EMIRATES

Co Author(s): :    F. Habroosh   N. Al Mansoori   A. Al Ali   B. Kamalboor   M. Alkaabi   S. Al Salemi

Abstract Details

Purpose:

To study the microbial profile, antibiotic susceptibility pattern, risk factors, and outcome for cases of microbial keratitis presented to a tertiary Cornea unit in Abu Dhabi over a period of 3 years (between January 2012 and December 2014)

Setting:

A retrospective study conducted in a tertiary Cornea unit at Sheikh Khalifa Medical City in Abu Dhabi, UAE.

Methods:

All cases who had had corneal scraping for presumed infectious keratitis performed at Sheikh Khalifa Medical City, Abu Dhabi, between January 2012 and December 2014 were reviewed. Information concerning culture results, antibiotic susceptibility, risk factors and visual outcome were studied.

Results:

68 cases were identified aged 2 to 80 years. Risk factors include; Contact lens wearing (28%), predisposing ocular surface disease (37%), trauma (9%), use of steroid (25%) Culture were positive in 34 cases (50%) with the following microbial profile; Pseudomonas Aeruginosa (26%), Staphylococcus epidermides (17%), Staphylococcus aurous (12%), fungal (12% ) and Mixed skin flora (26%) Pseudomonas Aeruginosa was the main organism cultured in contact lens related keratitis (44%) and was sensitive to Tobramycin in 90%. 12 patients (17%) needed therapeutic corneal transplant including all fungal cases. Mean visual acuity improved from 0.17 (6/38) at presentation to 0.4 (6/15) P=.00

Conclusions:

The results of the study highlight the role of contact lenses and topical steroid misuse as predisposing factors for infectious keratitis in UAE. The mixed nature of microbial profile akin to those seen in developed world (pseudomonas contact lens related infection) as well as developing countries (trauma related fungal infection) reflects the cosmopolitan nature of the country. Fungal keratitis carries poor prognosis as all cases needed therapeutic corneal transplant

Financial Disclosure:

NONE

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