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Radial Keratoneuritis in Aeromonas Keratitis
Journal of the Korean Ophthalmological Society ; : 792-796, 2019.
Artículo en Coreano | WPRIM | ID: wpr-766892
ABSTRACT

PURPOSE:

We report a case of Aeromonas keratitis presenting as radial keratoneuritis. CASE

SUMMARY:

A 33-year-old woman with a history of cleaning her contact lenses with tap water presented with decreased visual acuity for 1 day in the left eye. The patient showed diffuse corneal edema, stromal infiltration, and radial keratoneuritis, which were thought to be pathognomonic for Aeromonas keratitis. Based on the patient's clinical findings and past history, a diagnosis of Aeromonas keratitis was made and she was prescribed topical fortified cefazolin (50 mg/mL, 5%), tobramycin (3 mg/mL), and 0.02% chlorhexidine per hour. Culture results from the contact lens and contact lens solution confirmed infection by Aeromonas hydrophilia. Polymerase chain reaction results for Aeromonas were negative. After 8 days of treatment, the uncorrected visual acuity was 0.7/0.3 with improvement in her corneal findings.

CONCLUSIONS:

Radial keratoneuritis is not always pathognomic for Aeromonas keratitis and can be present in Aeromonas keratitis. Therefore, ophthalmologists should be cautious when interpreting this clinical sign.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Tobramicina / Agua / Agudeza Visual / Edema Corneal / Cefazolina / Clorhexidina / Reacción en Cadena de la Polimerasa / Soluciones para Lentes de Contacto / Lentes de Contacto / Córnea Tipo de estudio: Estudio diagnóstico Límite: Adulto / Femenino / Humanos Idioma: Coreano Revista: Journal of the Korean Ophthalmological Society Año: 2019 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Tobramicina / Agua / Agudeza Visual / Edema Corneal / Cefazolina / Clorhexidina / Reacción en Cadena de la Polimerasa / Soluciones para Lentes de Contacto / Lentes de Contacto / Córnea Tipo de estudio: Estudio diagnóstico Límite: Adulto / Femenino / Humanos Idioma: Coreano Revista: Journal of the Korean Ophthalmological Society Año: 2019 Tipo del documento: Artículo