Streptococcus agalactiae endophthalmitis in boston keratoprosthesis in a patient with steven-johnson syndrome

Humoud M. Al-Otaibi, Mohammed Talea, Omar Kirat, Donald U. Stone, William May, Igor Kozak

Research output: Contribution to journalArticle

Abstract

A 25-year-old Syrian male with a previous episode of Stevens-Johnson syndrome with bilateral corneal cicatrization previously underwent surgery for Type 1 Boston Keratoprosthesis (K-Pro). Sixteen months after the K-Pro surgery, the patient presented with decreased vision to hand motion and microbial keratitis of the graft around the K-Pro with purulent discharge. Corneal scrapings were nonrevealing. B-scan in 3 days showed increased debris in the vitreous cavity and thickened retinochoroidal layer. Intravitreal tap and injections of vancomycin and ceftazidime were performed. The vitreous culture revealed β-hemolytic Streptococcus agalactiae; fungal cultures were negative. Repeat B-scan 3 days later demonstrated decreased vitreous opacity, and the patient felt more comfortable and was without pain. His visual acuity improved to 20/70, ocular findings have been stable for 9 months, and the patient continues to be monitored.

Original languageEnglish (US)
Pages (from-to)329-331
Number of pages3
JournalMiddle East African Journal of Ophthalmology
Volume23
Issue number4
DOIs
StatePublished - Oct 1 2016

Keywords

  • Boston Keratoprosthesis
  • Endophthalmitis
  • Steven-Johnson Syndrome
  • Streptococcus agalactiae

ASJC Scopus subject areas

  • Ophthalmology

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