International Medical Case Reports Journal (Feb 2021)
Scleral Buckle Infection Caused by Mycobacterium chelonae: A Case Report
Abstract
Mami Kusaka, Yu Kagitani, Sachiyo Hama, Mihori Kita Department of Ophthalmology, National Hospital Organization Kyoto Medical Center, Kyoto, JapanCorrespondence: Mihori KitaDepartment of Ophthalmology, National Hospital Organization Kyoto Medical Center, 1-1 Mukaihata-Cho, Fukakusa, Fushimi-Ku, Kyoto-city, Kyoto, 612-8555, JapanTel +81-75-641-9161Fax +81-75-643-4325Email [email protected]: A 63-year-old female with a history of retinal detachment repair with scleral buckle from 28 years prior presented with exposure of the buckle in her right eye. After removing the buckle and anchoring sutures, the operation field was washed with 0.25% polyvinyl alcohol-iodine, vancomycin, and ceftazidime. Cultures revealed Mycobacterium chelonae. Systemic meropenem was discontinued on postoperative day 5. The retina remained attached, and there was no recurrence over a 1-year follow-up. We report a case of NTM buckle infection that responded well to thorough washings with polyvinyl alcohol-iodine and antibiotic solutions instead of using a prolonged course of systemic antibiotics.Keywords: scleral buckle, infection, Mycobacterium chelonae, nontuberculous mycobacteria, NTM, polyvinyl alcohol-iodine, artificial device
