Transfixing Keratoplasties Complicated By Infectious Keratitis: Experience Of The Casablanca Ophthalmology Department
Published 2024 - 42nd Congress of the ESCRS
Reference: PO653 | Type: Free paper | DOI: 10.82333/r7vy-qh81
Authors: Lamia Ajdour* 1 , assia elharrar 1 , zyad laftimi 1 , ghizlane daghouj 1 , bouchra allali 1 , loubna elmaaloum 1 , asmaa elkettani 1
1pediatric ophtalmology department,20 august hospital,casablanca,Morocco
Purpose
The aim of this study is to evaluate the infectious FDR, study the spectrum of pathogens and study the prognosis on graft survival
Setting
restroptective study
Methods
This is a retrospective descriptive study which involved 107 keratoplasty patients. The study was carried out in Ophthalmology Department A in Casablanca over a period of 10 years, from January 2009 to January 2023.
Results
Out of 104 cases:7were complicated by infectious keratitis,a male predominance,average age was 43 years,the time to onset the infectious episode was less than1year and the indications for KT were dominated by keratoconus.Among the risk factors:sutures,prescription of antibiotics and corticosteroids andepithelial defect.Treatment consisted of taking bacteriological corneal samples by swabbing and scraping the edges and bottom of the abscess. And emergency treatment using eye drops fortified with ceftazidime and vancomycin.The treatment was adjusted afterwards based on the results of the antibiogram. The bacteriological examination was positive in 28% of cases:isolating staphylococcus in 1case and a multi-resistant streptococcus in 1case
Conclusions
Bacterial keratitis is a major postoperative complication of full-thickness keratoplasty for which several risk factors are incriminated. Their strict postoperative control within the framework of frequent ophthalmological examinations could thus reduce its incidence. The patient must be informed and warned and come and consult at the slightest sign of keratitis for early treatment.