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Radial Keratoneuritis in Aeromonas Keratitis
Journal of the Korean Ophthalmological Society ; : 792-796, 2019.
Article Dans Coréen | 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.
Sujets)

Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Tobramycine / Eau / Acuité visuelle / Oedème cornéen / Céfazoline / Chlorhexidine / Réaction de polymérisation en chaîne / Solutions pour lentilles cornéennes / Lentilles de contact / Cornée Type d'étude: Etude diagnostique Limites du sujet: Adulte / Femelle / Humains langue: Coréen Texte intégral: Journal of the Korean Ophthalmological Society Année: 2019 Type: Article

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Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Tobramycine / Eau / Acuité visuelle / Oedème cornéen / Céfazoline / Chlorhexidine / Réaction de polymérisation en chaîne / Solutions pour lentilles cornéennes / Lentilles de contact / Cornée Type d'étude: Etude diagnostique Limites du sujet: Adulte / Femelle / Humains langue: Coréen Texte intégral: Journal of the Korean Ophthalmological Society Année: 2019 Type: Article