ESCRS - P129 - CASE REPORT :MULTIRESISTANT CORNEAL ABSCESS ON TRANSFIXING KERATOPLASTY

CASE REPORT :MULTIRESISTANT CORNEAL ABSCESS ON TRANSFIXING KERATOPLASTY

Published 2022 - 26th ESCRS Winter Meeting

Reference: P129 | Type: Abstracts | DOI: 10.82333/2tra-j403

Authors: Neama Bouhazzama* 1 , Hamza Alaoui 1 , Zineb Morchid 1 , Loubna Elmaaloum 1 , Bouchra Allali 1 , Asmae Elkettani 1

1Ophtalmology,Hopital 20 Aout 1953, CHU Ibn Rochd,casablanca,Morocco

Purpose

Corneal abscess is serious complication after corneal transplantation threatening the viability of the grafted tissues and visual outcomes of patients.

Setting

ophthalmology department; August 20th,1953 hospital Ibn Rochd University Hospital Center Faculty of Medicine and Pharmacy Casablanca Hassan II University (Morocco) 

Methods

We report a case of multiresistant infection following penetrating keratoplasty 5 months postoperatively.

Results

A 18-year-old man with keratoconus underwent a penetrating keratoplasty. 5 months after surgery, the patient experienced a sudden decrease in vision and severe eye pain and developed a corneal abscess in the graft-host interface measuring 3mm/3mm without an intraocular infection. A corneal swabs were taken. Fortified eye drops based on ceftazidime and vancomycin was ineffective on halting the progression of the infection. A multiresistant streptococcus viridans was isolated.

Conclusion

After a penetrating keratoplasty, infection may develop at the graft-host interface. the setting of an adapted treatment can reduce the risk of development of endophthalmitis and the loss of th graft.