Corneal Collagen Cross-linking for Corneal Ulcer from Moraxella Group
Journal of the Korean Ophthalmological Society
;
: 200-204, 2020.
Article
in Korean
| WPRIM
| ID: wpr-811322
ABSTRACT
PURPOSE:
To report a case of corneal collagen cross-linking for corneal ulcer caused by the Moraxella group.CASESUMMARY:
A 77-year-old male had decreased visual acuity for several days in his right eye. The patient showed severe stromal ring infiltrates with a corneal epithelial defect measuring (5.0 × 7.0 mm), a corneal endothelial plaque, and a hypopyon measuring less than 1.0 mm in height in the anterior chamber of the right eye. There was no abnormal finding in the right eye using B-scan ultrasonography. Before starting treatment, a corneal culture was conducted. The culture tests showed the presence of the Moraxella group. Because the patient was diagnosed with a corneal ulcer caused by the Moraxella group, corneal collagen cross-linking (CXL) was performed. The antimicrobial susceptibility test confirmed that this Moraxella group was sensitive to ceftazidime, so the patient was treated with 5% ceftazidime eye drops and 0.5% moxifloxacin eye drops every 2 hours for 9 months after corneal collagen CXL. The uncorrected visual acuity was 0.1 in the right eye, and there was almost no corneal stromal melting on anterior segment optical coherence tomography.CONCLUSIONS:
This is the first known case of a corneal ulcer, in the Republic of Korea, caused by the Moraxella group and treated with corneal collagen CXL. Corneal collagen CXL should be considered as a surgical treatment for patients who have an impending corneal perforation due to a corneal ulcer because it is a simple procedure and causes fewer serious complications than other treatments.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Ophthalmic Solutions
/
Visual Acuity
/
Ceftazidime
/
Corneal Ulcer
/
Ultrasonography
/
Collagen
/
Cornea
/
Tomography, Optical Coherence
/
Corneal Perforation
/
Republic of Korea
Type of study:
Diagnostic study
Limits:
Aged
/
Humans
/
Male
Country/Region as subject:
Asia
Language:
Korean
Journal:
Journal of the Korean Ophthalmological Society
Year:
2020
Type:
Article
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