Copenhagen 2016 Registration Programme Exhibitor Information Virtual Exhibition Satellite Meetings Glaucoma Day 2016 Hotel Star Alliance
title

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

This Meeting has been awarded 27 CME credits

 

escrs app advert yo advert

Posters

Search Title by author or title

Severe corneal abscess by pseudomona aeruginosa in a baby of 5 months old

Poster Details

First Author: M. Gessa SPAIN

Co Author(s):    M. Parrilla Vallejo   D. Sosa Dominguez   -. Torres Garcia              

Abstract Details

Purpose:

The pseudomonas keratitis are associated with the use of contact lenses or trauma, while infections in children are usually caused by Gram + . We report the clinical case of a baby of 5 months old with severe corneal infection. No illness. Mother denies previous trauma.Microbiological study revealed pseudomonas aeruginosa.

Setting:

Clinical study by slit lamp, ocular and orbital ultrasound and microbiological study of corneal scraping

Methods:

Clinical case. Baby, 5 months old.Emergency admission for red eye 2 days of evolution. Mother denies previous trauma. Exploration : Pre-septum cellulitis and corneal abscess with stromal thinning that prevented display of the anterior pole. No foreign bodies. Ultrasound: no intraocular or orbital affectation. Corneal scrapping is performed and immediately is treated by enhanced vancomicyn and ceftazidime hourly. The microbiological study reveals pseudomonas aeruginosa sensitive to cephalosporins and fluorquinolones.

Results:

The stromal infiltrate improves with the prescribed treatment and continue with quinolone until resolution of the same As a sequel is a central walleye. It is planned to make a penetrating keratoplasty or DALK, but the family prefers not to perform surgery. Currently developing a sensory deprivation strabismus

Conclusions:

Pseudomona aeruginosa keratitis in children raises the question about the best treatment option Medical approach:we consider at the first option third generation of cephalosporines . It´s essential to take a sample of the abscess to analyze microbiological origin. Surgical treatment: it´s very important the valuation of complications and functional recovery. The family didn´t give us the option to do surgery, but thought it would be feasible to perform DALK in order to achieve the best possible visual acuity.

Financial Disclosure:

NONE

Back to Poster listing