Indian Journal of Ophthalmology (Jan 2015)
A case of acute postoperative keratitis after deep anterior lamellar keratoplasty by multidrug resistant Klebsiella
- Leena Bajracharya,
- Binita Sharma,
- Reeta Gurung
Affiliations
- Leena Bajracharya
- Binita Sharma
- Reeta Gurung
- DOI
- https://doi.org/10.4103/0301-4738.158088
- Journal volume & issue
-
Vol. 63,
no. 4
pp. 344 – 346
Abstract
A healthy lady of 42 years underwent deep anterior lamellar keratoplasty for granular dystrophy. The very next day, it was complicated by development of infectious keratitis. The organism was identified as multidrug resistant Klebsiella pneumoniae. Donor corneal button may be implicated in the transmission of infection in an otherwise uneventful surgery and follow-up. Nosocomial infections are usually severe, rapidly progressive and difficult to treat. Finally, the lady had to undergo therapeutic penetrating keratoplasty for complete resolution of infection.
Keywords
- Advanced glaucoma
- optical coherence tomography
- reproducibility
- retinal nerve fiber layer thickness
- spectral domain
- Ophthalmology
- residents
- surgical training
- survey
- Cytokine
- diabetic macular edema
- optical coherence tomography
- Macular GHPC
- pulse cyclophosphamide
- serpiginous choroidopathy
- Contact lens
- Corvis ST
- intraocular pressure
- Confocal microscopy
- meibomian gland
- meibomian gland microenvironment
- papillary formation
- vernal keratoconjunctivitis
- Eye
- intra-arterial chemotherapy
- retinoblastoma
- tumor
- Dacryocystorhinostomy
- intubation
- lacrimal surgery
- mitomycin-C
- nasolacrimal duct obstruction
- primary acquired nasolacrimal duct obstruction
- Dengue foveolitis
- dengue maculopathy
- spectral domain optical coherence tomography
- Deep anterior lamellar keratoplasty
- Klebsiella pneumoniae
- postoperative keratitis
