Post-keratoplasty endophthalmitis caused by Proteus mirabilis

TitlePost-keratoplasty endophthalmitis caused by Proteus mirabilis
Publication TypeJournal Article
Year of Publication1998
AuthorsLam DS, Kwok AK, Chew S
JournalEye (Lond)
Volume12 ( Pt 1)
Pagination139 - 40
ISSN0950-222X (Print) 0950-222X (Linking)
Accession Number9614531
Keywords*Proteus mirabilis, Aged, Cataract Extraction, Endophthalmitis / *microbiology, Female, Humans, Keratoplasty, Penetrating / *adverse effects, Lens Implantation, Intraocular, Proteus Infections / *transmission

A diabetic patient who underwent a triple procedure (penetrating keratoplasty, cataract extraction and posterior chamber intraocular lens implantation), developed endophthalmitis caused by Proteus mirabilis. The source of infection was the infected donor cornea, which was imported from Sri Lanka. The organism was resistant to gentamicin, which was the only antibiotic present in the storage medium. On top of an aggressive antibiotic treatment regime (topical, systemic and intravitreal), exchange of the infected with a fresh corneal graft and pars plana vitrectomy were performed. The patient had a speedy recovery and the visual outcome was 20/40 two and a half years after the incident. To our knowledge, post-keratoplasty endophthalmitis caused by P. mirabilis has never been reported in the literature. We report herein such a case with good visual outcome. Newer storage medium, such as Optisol GS, might have a role in preventing keratoplasty-related infection.

URLinternal-pdf://Lam - Proteus mirabilis-4287542528/Lam - Proteus mirabilis.pdf
Notify Library Reference ID860

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